| NPI | 1164742482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE ADAMOV Director 502-891-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: KY 3676) |
| 344600000X Taxi (Licence: KY 3676) | |
| 347B00000X Bus (Licence: KY 3676) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2014-01-15 |