| R.e.a.c.h. Program Llc | |
|
120 W Stephen Foster Ave Ste 113 Bardstown KY 40004-1457 | |
| (502) 350-7368 | |
| Not Available |
| Full Name | R.e.a.c.h. Program Llc |
|---|---|
| Speciality | Social Worker |
| Location | 120 W Stephen Foster Ave Ste 113, Bardstown, Kentucky |
| Authorized Official Name and Position | Stacie A Sylvester (MEMBER) |
| Authorized Official Contact | 5023507368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R.e.a.c.h. Program Llc 120 W Stephen Foster Ave Ste 113 Bardstown KY 40004-1457 Ph: (502) 350-7368 | R.e.a.c.h. Program Llc 120 W Stephen Foster Ave Ste 113 Bardstown KY 40004-1457 Ph: (502) 350-7368 |
| NPI Number | 1265858864 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 1951742782 |
|---|---|
| Medicare Enrollment ID | O20240510002604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265858864 | NPI | - | NPPES |
| Provider Name | Stacie A Sylvester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265726145 PECOS PAC ID: 2860833696 Enrollment ID: I20240510002826 |
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