| NPI | 1578793204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA J BANKS Executive Director 606-633-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 251B00000X Case Management (Licence: KY 1363) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-08-10 |