NPI | 1114052057 |
---|---|
Doing Business As | THE KIDZ CLUB |
Entity Type | Organization |
Authorized Contact | LEE B ZIMMERMAN Pres 502-210-5538 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: KY 760001) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2015-01-20 |