| NPI | 1417036575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY MARIE KITCHENS Executive Director 270-843-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: KY 1072556) |
| Additional Taxonomies | 251C00000X (Licence: KY 3209) |
| 251C00000X (Licence: KY 1002) | |
| 251C00000X (Licence: KY 3128) | |
| 251C00000X (Licence: KY 1044) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |