| NPI | 1558225607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAROOF A AJANI CEO 502-489-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |