| NPI | 1649350216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE MATTINGLY Provider Enrollment 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-08-15 |