NPI | 1427328079 |
---|---|
Other Name | NORTHRIDGE GROUP HOME |
Entity Type | Organization |
Authorized Contact | DEENA G. OMBRES Assoc. Gen. Counsel/Privacy Officer 502-394-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2012-01-12 |
Last Update Date | 2012-01-12 |