| NPI | 1467516450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAPPIE L PARSONS Administrator 859-986-0485 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: KY 261QR1300X) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2010-02-10 |