| NPI | 1114164803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S. DYE Owner 859-238-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KY 1058509) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |