| NPI | 1619017175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH JANE FERGUSON Administrator 502-955-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: KY 7100170430) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-02-17 |