| NPI | 1669722187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION OHAGAN Sole Member 502-744-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KY 3007449) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |