| NPI | 1295947208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MATTINGLY Mgr Provider Enrollment 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-08-15 |