NPI | 1467821769 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA MARINEZ Administraor 270-886-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: KY 100064) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |