| NPI | 1295254332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA WADDELL Manager 502-819-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: KY m95083756) |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-09-10 |