| NPI | 1689889131 |
|---|---|
| Other Name | CASA DE VIDA |
| Entity Type | Organization |
| Authorized Contact | DEENA OMBRES Privacy Officer 502-394-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-07-16 |