Provider Demographics
NPI:1518457423
Name:AMAYSING INTERVENTION SERVICES
Entity type:Organization
Organization Name:AMAYSING INTERVENTION SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-325-3981
Mailing Address - Street 1:585 STOREY AVE
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-1049
Mailing Address - Country:US
Mailing Address - Phone:859-325-3981
Mailing Address - Fax:859-715-0401
Practice Address - Street 1:585 STOREY AVE
Practice Address - Street 2:
Practice Address - City:HARRODSBURG
Practice Address - State:KY
Practice Address - Zip Code:40330-1049
Practice Address - Country:US
Practice Address - Phone:859-325-3981
Practice Address - Fax:859-715-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency