| NPI | 1083274369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA HALL Director 270-670-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |