Healthcare Provider Details

I. General information

NPI: 1932025871
Provider Name (Legal Business Name): KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 7TH AVE
CLAY CITY KY
40312-1121
US

IV. Provider business mailing address

245 7TH AVE
CLAY CITY KY
40312-1121
US

V. Phone/Fax

Practice location:
  • Phone: 606-663-9794
  • Fax:
Mailing address:
  • Phone: 606-663-9794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN W RODEN III
Title or Position: DEPUTY DIRECTOR
Credential:
Phone: 859-624-2046