NPI | 1023433679 |
---|---|
Other Name | DESTINY GH |
Entity Type | Organization |
Authorized Contact | DEENA G. OMBRES Assoc. Gen. Counsel/Privacy Officer 502-394-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2014-02-19 |
Last Update Date | 2014-02-19 |