OrganizationActive
Community Inclusion LLC
NPI 1285514430 · Developmental Disabilities Clinic/Center · Russell, KY
Provider details
- NPI number
- 1285514430
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Toni Mullins, Executive Director(606) 694-1797
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
320 Bluebird Dr
Russell, KY 41169-1568
Phone: (606) 694-1797
Approximate (ZIP-level) locationGet directions
Mailing address
320 Bluebird Dr
Russell, KY 41169-1568
Registry dates
- Enumerated
- 2025-09-06
- Last updated
- 2025-09-06
- Certified
- 2025-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.