| Living Clean Llc | |
|
214 Bridge St Manchester KY 40962-1204 | |
| (606) 681-5558 | |
| Not Available |
| Full Name | Living Clean Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 214 Bridge St, Manchester, Kentucky |
| Authorized Official Name and Position | Lisa Burton (OWNER) |
| Authorized Official Contact | 6066815558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Clean Llc 214 Bridge St Manchester KY 40962-1204 Ph: () - | Living Clean Llc 214 Bridge St Manchester KY 40962-1204 Ph: (606) 681-5558 |
| NPI Number | 1669185732 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 02/04/2023 |
| Certification Date | 02/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669185732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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