| 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 |