Community Choices Unlimited

NPI 1104213446 - Clinic/Center - 261QA0600X

NPI Details
NPI 1104213446
Enumeration Date 04/24/2015
Last Updated 04/24/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name STACEY LYNN STACEY
Position PRESIDENT/OWNER
Phone (502) 223-2488
Fax
Practice Location
915 LEAWOOD DR
SUITE A
FRANKFORT KY, 40601-7776, US
Phone (502) 223-2488
Fax
Business Location
915 LEAWOOD DR
SUITE A
FRANKFORT KY, 40601-7776, US
Phone (502) 223-2488
Fax
Toxanomy
Taxonomy Code 261QA0600X
License State Kentucky
License Number 33000597
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According to our database, Community Choices Unlimited NPI is 1104213446, taxonomy code is 261QA0600X and license number is 33000597, license state is located at Kentucky. Community Choices Unlimited physically located at 915 Leawood Dr, Frankfort KY, 40601-7776. NPI Number 1033115704 has the healthcare provider type.

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1104213446 NPI number is provided on an as is basis without warranty of any kind. 1104213446 is maintained by the National Plan & Provider Enumeration System. The contents of Community Choices Unlimited are for informational purposes only.