| NPI | 1679912125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD SEAVER Manager/Co Owner 502-891-4483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KY 019) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |