| NPI | 1144492430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN COONS Executive Director 502-542-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2020-01-15 |