| Mcclure Community Living Supports | |
|
3442 Breezeel School Rd Benton KY 42025-5190 | |
| (270) 493-0780 | |
| (270) 252-9112 |
| Full Name | Mcclure Community Living Supports |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3442 Breezeel School Rd, Benton, Kentucky |
| Authorized Official Name and Position | Marshella Mcclure (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2704930780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclure Community Living Supports 3442 Breezeel School Rd Benton KY 42025-5190 Ph: (270) 493-0780 | Mcclure Community Living Supports 3442 Breezeel School Rd Benton KY 42025-5190 Ph: (270) 493-0780 |
| NPI Number | 1922642602 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922642602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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