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Revive Ministries Inc
Substance Abuse Rehabilitation Facility in Nicholasville, Kentucky
NPI 1063909067

Revive Ministries Inc is a Substance Abuse Rehabilitation Facility based in Nicholasville, KY. Revive Ministries Inc practices in Nicholasville, KY. The NPI Number for Revive Ministries Inc is 1063909067 and holds a License No. (Kentucky).

The current practice location address for Revive Ministries Inc is 111 Coconut Grove Drive, Nicholasville, KY and can be reached out via phone at 859-881-4505 and via fax at 859-241-1483.

Location: 111 Coconut Grove Drive, Nicholasville, KY, 40356-1868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063909067
Provider Name
Revive Ministries Inc
Credential
Provider Entity Type
Organization
Address
111 Coconut Grove Drive, Nicholasville, KY, 40356-1868
Phone Number
859-881-4505
Fax Number
859-241-1483
Provider Enumeration Date
04/16/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100649290 05 KY
7100541540 01 KY MEDICAID GROUP
810626 01 KY BHSO
institution
Provider Business Practice Location Address Details
Address
111 Coconut Grove Drive
City
Nicholasville
State
Kentucky
Zip
40356-2321
Phone Number
859-881-4505
Fax Number
859-241-1483
person
Provider Business Mailing Address Details
Address
111 Coconut Grove Drive
City
Nicholasville
State
Kentucky
Zip
40356-2321
Phone Number
859-881-4505
Fax Number
859-241-1483
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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