| NPI | 1356665376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP EWUSI NAJEME Director Of Operations 502-803-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |