| NPI | 1255635132 |
|---|---|
| Doing Business As | 86TH STREET |
| Entity Type | Organization |
| Authorized Contact | BRYAN HUDSON General Counsel 502-779-7683 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |