| NPI | 1376053371 |
|---|---|
| Doing Business As | FAIRWAY COMMUNITY HOME |
| Entity Type | Organization |
| Authorized Contact | MARY A PANK Paralegal 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |