| NPI | 1376623025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MATTINGLY Mgr Provider Enrollment 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 251B00000X Case Management | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-08-15 |