| NPI | 1457479032 |
|---|---|
| Other Name | CARLYLE |
| Entity Type | Organization |
| Authorized Contact | DENISHA RENEE CONNOR Provider Enrollment 502-630-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-11-14 |