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Gilley Enterprises LLC

Case Manager/Care Coordinator in Jeremiah, KY. Organization (NPI-2).

NPI number1831962091
StatusActive
Last updated in NPPESOct 31, 2023

Details

NPI
1831962091
Entity type
Organization (NPI-2)
Legal business name
Gilley Enterprises LLC
Organization subpart
No
Enumeration date
Oct 31, 2023
Certification date
Oct 31, 2023
Last updated
Oct 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Other names

  • Eastern Mountain Family & Support Services (Doing Business As)
  • Eastern Mountain Family And Support Servcies (Doing Business As)

Practice location

2381 Highway 7 S
Jeremiah, KY 41826-9081

Phone 606-633-8058 · Fax 606-633-2414

Mailing address

Po Box 82
Jeremiah, KY 41826-0082

Phone 606-633-8058 · Fax 606-633-2414

Authorized official

Shawn A Gilley
Chief Executive Officer
6068216252

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