| NPI | 1033197967 |
|---|---|
| Doing Business As | HAZELWOOD CENTER |
| Entity Type | Organization |
| Authorized Contact | WENDY MORRIS Deputy Commissioner 502-564-4527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: KY 100211) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2014-05-06 |