Healthcare Provider Details

I. General information

NPI: 1568529725
Provider Name (Legal Business Name): LINKS OF KENTUCKY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 ROWENA DR
SOMERSET KY
42501-4152
US

IV. Provider business mailing address

155 SUNSET DR
BRONSTON KY
42518-9673
US

V. Phone/Fax

Practice location:
  • Phone: 606-451-0541
  • Fax:
Mailing address:
  • Phone: 606-451-0541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. BILLY STARNS
Title or Position: OWNER
Credential:
Phone: 606-561-4189