| NPI | 1376776013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY C JEFFERS President 606-423-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 385H00000X Respite Care | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |