| Homeplace Support Services | |
|
2647 Regency Rd #105 Lexington KY 40503-2959 | |
| (859) 936-2010 | |
| (859) 936-2099 |
| Full Name | Homeplace Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2647 Regency Rd, Lexington, Kentucky |
| Authorized Official Name and Position | Carla Barrowman Clevenger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8599362010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homeplace Support Services Po Box 24588 Lexington KY 40524-4588 Ph: (859) 936-2010 | Homeplace Support Services 2647 Regency Rd #105 Lexington KY 40503-2959 Ph: (859) 936-2010 |
| NPI Number | 1598113102 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598113102 | NPI | - | NPPES |
| 33000720 | Medicaid | KY | |
| 7100156330 | Medicaid | KY | |
| 7100216880 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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