NPI | 1336443159 |
---|---|
Entity Type | Organization |
Authorized Contact | THELMA WOODY Registered Agent/Member 606-312-3736 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: KY pending) |
Enumeration Date | 2011-01-08 |
Last Update Date | 2011-01-08 |