Provider Demographics
NPI:1700233053
Name:MULTI-PURPOSE COMMUNITY ACTION AGENCY, INC.
Entity Type:Organization
Organization Name:MULTI-PURPOSE COMMUNITY ACTION AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:EMBREY HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-633-7162
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:140 STONECREST RD, SUITE 100
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40066-0305
Mailing Address - Country:US
Mailing Address - Phone:502-633-7162
Mailing Address - Fax:502-633-7254
Practice Address - Street 1:207 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1045
Practice Address - Country:US
Practice Address - Phone:502-633-2218
Practice Address - Fax:502-633-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care