| NPI | 1073865127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIE OGLETREE Operations Manager 502-553-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: KY 500116) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |