Individual
JIBRIL IMAN TINSLEY MCCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1522 WATERFALL WAY, ELSMERE, KY 41018-4023
(859) 907-7443
Mailing address
1522 WATERFALL WAY, ELSMERE, KY 41018-4023
(859) 907-7443
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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