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W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES NPI 1881291672


NPI Information

NPI: 1881291672
Provider Name: W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
401 N MILES ST # B101
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 572-4132
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W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Elizabethtown, KY. W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES NPI is 1881291672. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 N MILES ST # B101
ELIZABETHTOWN, KY
ZIP 42701-834
Phone: (270) 572-4132

The provider's authorized official is Sperlisha Victoria Ayeni .
The authorized official title is Chief Operations Officer and has the following contact phone number (270) 572-4132.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 2/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistNo
2261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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