| NPI | 1235632969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT BOUSE Executive Director 606-791-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KY 500283) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-09-23 |