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Champion Supports & Services, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pikeville, Kentucky
NPI 1386795268

Champion Supports & Services, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Pikeville, KY. Champion Supports & Services, Inc practices in Pikeville, KY. The NPI Number for Champion Supports & Services, Inc is 1386795268 and holds a License No. (Kentucky).

The current practice location address for Champion Supports & Services, Inc is 3409 N Mayo Trl, Pikeville, KY and can be reached out via phone at 606-432-8666 and via fax at 606-432-8159.

Location: 3409 N Mayo Trl, Pikeville, KY, 41501-3268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386795268
Provider Name
Champion Supports & Services, Inc
Credential
Provider Entity Type
Organization
Address
3409 N Mayo Trl, Pikeville, KY, 41501-3268
Phone Number
606-432-8666
Fax Number
606-432-8159
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33000779 05 KY
institution
Provider Business Practice Location Address Details
Address
3409 N Mayo Trl
City
Pikeville
State
Kentucky
Zip
41501-3268
Phone Number
606-432-8666
Fax Number
606-432-8159
person
Provider Business Mailing Address Details
Address
3409 N Mayo Trl
City
Pikeville
State
Kentucky
Zip
41501-3268
Phone Number
606-432-8666
Fax Number
606-432-8159
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.
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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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