Gilley Enterprises LLC

Organization Active NPI Case Manager/Care Coordinator · Jeremiah, KY

NPI 1831962091 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1831962091
Entity type
Organization (NPI type 2)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Legal business name
GILLEY ENTERPRISES LLC
Practice address
2381 Highway 7 S
Jeremiah, KY 41826-9081
Phone
(606) 633-8058
Fax
(606) 633-2414
NPI assigned
Oct 31, 2023
Organization subpart
No

Authorized official

Name
Mr. Shawn A Gilley
Title
Chief Executive Officer
Phone
(606) 821-6252

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

2381 Highway 7 S
Jeremiah, KY 41826-9081

Mailing address

PO Box 82
Jeremiah, KY 41826-0082
Phone (606) 633-8058

Other names

  • Eastern Mountain Family & Support Services Doing business as
  • Eastern Mountain Family and Support Servcies Doing business as

Other providers in Jeremiah, KY

All providers in Jeremiah, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.