NPI | 1528423589 |
---|---|
Other Name | CINDY GH |
Entity Type | Organization |
Authorized Contact | MARY A PANK Paralegal 502-394-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2015-12-17 |
Last Update Date | 2019-04-09 |