PROVISION HOME

WEST LIBERTY, KY
NPI1730950072
Entity TypeOrganization
Authorized ContactDAVID BRIAN BARTLEY
Director
606-923-0361
Organization Subpart ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-01-15
Last Update Date2024-01-15
Business Address
PROVISION HOME
778 BROADWAY ST
WEST LIBERTY, KY 41472-1110
Phone number: 606-923-0361
Mailing Address
PROVISION HOME
778 BROADWAY ST
WEST LIBERTY, KY 41472-1110
Phone number: 606-923-0361