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Provision Home
Peer Specialist in West Liberty, Kentucky
NPI 1730950072

Provision Home is a Peer Specialist based in West Liberty, KY. Provision Home practices in West Liberty, KY. The NPI Number for Provision Home is 1730950072 and holds a License No. (Kentucky).

The current practice location address for Provision Home is 778 Broadway St, West Liberty, KY and can be reached out via phone at 606-923-0361.

Location: 778 Broadway St, West Liberty, KY, 41472-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730950072
Provider Name
Provision Home
Credential
Provider Entity Type
Organization
Address
778 Broadway St, West Liberty, KY, 41472-1110
Phone Number
606-923-0361
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
778 Broadway St
City
West Liberty
State
Kentucky
Zip
41472-1110
Phone Number
606-923-0361
Fax Number
person
Provider Business Mailing Address Details
Address
778 Broadway St
City
West Liberty
State
Kentucky
Zip
41472-1110
Phone Number
606-923-0361
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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