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Contact Information

W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES
401 N MILES ST # B101
ELIZABETHTOWN, KY42701-1834
 Phone: 270-572-4132
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES

NPI Number 1881291672
LBN Legal business name W I N G S COMMUNITY SUPPORT & RECOVERY SERVICES
Authorized official SPERLISHA AYENI - (CHIEF OPERATIONS OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2020
Last updated 02/05/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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