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Lincoln Way Llc Janice Diane Haycraft Single Mbr
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hodgenville, Kentucky
NPI 1336317122

Lincoln Way Llc Janice Diane Haycraft Single Mbr is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Hodgenville, KY. Lincoln Way Llc Janice Diane Haycraft Single Mbr practices in Hodgenville, KY. The NPI Number for Lincoln Way Llc Janice Diane Haycraft Single Mbr is 1336317122 and holds a License No. (Kentucky).

The current practice location address for Lincoln Way Llc Janice Diane Haycraft Single Mbr is 103 Lincoln Dr, Hodgenville, KY and can be reached out via phone at 270-358-6088 and via fax at 270-358-6089.

Location: 103 Lincoln Dr, Hodgenville, KY, 42748-9780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336317122
Provider Name
Lincoln Way Llc Janice Diane Haycraft Single Mbr
Credential
Provider Entity Type
Organization
Address
103 Lincoln Dr, Hodgenville, KY, 42748-9780
Phone Number
270-358-6088
Fax Number
270-358-6089
Provider Enumeration Date
02/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33001587 05 KY
institution
Provider Business Practice Location Address Details
Address
103 Lincoln Dr
City
Hodgenville
State
Kentucky
Zip
42748-9780
Phone Number
270-358-6088
Fax Number
270-358-6089
person
Provider Business Mailing Address Details
Address
103 Lincoln Dr
City
Hodgenville
State
Kentucky
Zip
42748-9780
Phone Number
270-358-6088
Fax Number
270-358-6089
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Kentucky)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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