| NPI | 1487820445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHACKLEFORD Chief Operationg Officer 606-789-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |