NPI 1770762833
Commonwealth of Kentucky
Practice location
- Address
- 5659 Main St, Thelma, KY 41260-8609
- Phone
- (606) 788-6600
- Fax
- (606) 788-7076
Authorised official
- Name
- Gaylene Morrow
- Title
- Billing Clerk
- Phone
- (606) 788-6600
Registered specialties
Physical Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1770762833
- Entity type
- Organization
- NPI issued
- 25 Oct 2007
- Record last updated
- 30 Jun 2010
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.