NPI | 1235305343 |
---|---|
Doing Business As | ELMCROFT OF LITTLE AVENUE |
Entity Type | Organization |
Authorized Contact | WILLIAM P MULLOY President 502-753-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL-060-082) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2008-05-08 |