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 |