NPI | 1124566443 |
---|---|
Other Name | VAUGHN HOME |
Entity Type | Organization |
Authorized Contact | MARY A PANK Paralegal 502-420-2666 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |