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NPI 1720921638

NPI 1720921638 : ADULT DAY HEALTH, INC. : CATLETTSBURG, KY

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General NPI Number Information
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    NPI Number           |    1720921638
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADULT DAY HEALTH, INC. 
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Dates
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    Enumeration Date     |    04/14/2026
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    Last Update Date     |    04/14/2026
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Provider Practice Location Address
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    Address Line         |    29501 MAYO TRAIL RD 
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    City                 |    CATLETTSBURG
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    State                |    KY
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    Zip                  |    41129-8104
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    Country              |    US
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    Telephone            |    508-618-7952
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    Fax                  |    774-215-5708
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Provider Business Mailing Address
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    Address Line         |    225 FOXBOROUGH BLVD STE 103 
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    City                 |    FOXBOROUGH
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    State                |    MA
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    Zip                  |    02035-3062
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    Country              |    US
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    Telephone            |    508-618-7952
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    Fax                  |    774-215-5708
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Authorized Official
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    Title or Position    |    VP QUALITY IMPROVEMENT
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    Name                 |     SUSAN R REDD-GARCELON 
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    Credential           |    RN
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    Telephone            |    508-618-7952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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