Provision Home
Provision Home provides Peer Specialist services in West Liberty, Kentucky. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
778 Broadway StWest Liberty, KY 41472-1110
Phone: (606) 923-0361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1730950072 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Bartley — Director · (606) 923-0361 |
| NPI enumerated | January 15, 2024 |
| Last updated in NPPES | January 15, 2024 |
| Certification date | October 24, 2023 |
| Mailing address | 778 Broadway St, West Liberty, KY 41472-1110 |
Other providers in West Liberty
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MS. Alyshia Brummett
476 Liberty Rd, West Liberty, KY 41472-2049 · (606) 743-3186
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MS. Misty Dawn Keeton
476 Liberty Rd, West Liberty, KY 41472-2049 · (606) 743-3186
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Nathan Lewis
767 Main St, West Liberty, KY 41472-1019 · (800) 562-8909
-
Brooklyn Patrick-Moore
767 Main St, West Liberty, KY 41472-1019 · (800) 562-8909
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Mr. Joshua Williams
1390 W Main St, West Liberty, KY 41472-2012 · (606) 336-3409