OrganizationActive
Community Inclusion LLC
NPI 1790635696 · Developmental Disabilities Clinic/Center · Russell, KY
Provider details
- NPI number
- 1790635696
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Toni Mullins, Owner(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
- 2026-01-30
- Last updated
- 2026-01-30
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.