| NPI | 1265944060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN CORDIAL Credentialing 606-886-8572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: KY 750202) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |