Eastern Avenue Sober Living Inc

LBN: Eastern Avenue Sober Living Inc
Eastern Avenue Sober Living Inc is an health care organization with primary practice located at 208 Eastern Ave , Lexington KY 40508-1918. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Eastern Avenue Sober Living Inc can be contacted via phone (754) 226-5343, or through Pressley, Vernon via phone (185) 953-9410.

Contact Information

Primary practice address
208 Eastern Ave Lexington KY 40508-1918
Phone: (754) 226-5343
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pressley, Vernon ADMINISTRATOR
Phone: (185) 953-9410

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1265020523
LBN Legal business name Eastern Avenue Sober Living Inc
DBA Doing business as
Authorized official Pressley, Vernon ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2021
Last updated Dec 10th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265020523 NPPES
Kentucky MEDICAID 7100698150

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