| NPI | 1639361694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JOAN BISHOP Executive Director 502-836-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-10-24 |