| |
5920 Timber Ridge Dr Ste 201, Prospect, KY 40059-8151 | |
(502) 451-2142 | |
(502) 451-2740 |
Full Name | |
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Type | Facility |
Speciality | Early Intervention Provider Agency |
Location | 5920 Timber Ridge Dr Ste 201, Prospect, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386859437 | NPI | - | NPPES |
1463 | Other | KY | CBIS PROVIDER NUMBER |
Mailing Address | Practice Location Address |
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5920 Timber Ridge Dr Ste 201, Prospect, KY 40059-8151 Ph: (502) 451-2142 | 5920 Timber Ridge Dr Ste 201, Prospect, KY 40059-8151 Ph: (502) 451-2142 |