| NPI | 1295872653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HOFFMAN Home Care Provider Assistant 502-239-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: KY 33000472) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |