NPI 1336399534
Supported Choices, LLC
Practice location
- Address
- 627 Glass Pike, Georgetown, KY 40324-8821
- Phone
- (502) 370-7229
Authorised official
- Name
- David L. Waters
- Title
- Executive Director
- Phone
- (502) 370-7229
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1336399534
- Entity type
- Organization
- NPI issued
- 24 Sep 2008
- Record last updated
- 24 Sep 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.