Organization
PROVIDE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILA COFFMAN (OWNER)
(606) 396-1702
Entity
Organization
Contact information
Practice address
3340 HIGHWAY 790, BRONSTON, KY 42518-9464
(606) 396-1702
Mailing address
3340 HIGHWAY 790, BRONSTON, KY 42518-9464
(606) 396-1702
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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