| NPI | 1649304197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA CAUDILL Administrator 606-886-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: KY 7500054) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |