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NPI Code Detail

MEDICARE: AFTON COMMUNIY DAY, INC.

MEDICARE: AFTON COMMUNIY DAY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1043703572
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFTON COMMUNIY DAY, INC.
Provider Business Mailing Address
First Line : 285 MEDLOCK RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-1150
Country : US
Telephone Number : 859-619-9721
Fax Number :
Provider Business Practice Location Address
First Line : 3743 RED RIVER DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40517-3351
Country : US
Telephone Number : 859-619-9721
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MR. WILLIAM HUBBARD
Credential :
Telephone Number : 859-619-9721
Provider Enumeration Date : 06/09/2018
Last Update Date : 06/09/2018

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Directions to “AFTON COMMUNIY DAY, INC. ” Practice Location

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