| NPI | 1750507547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY C. CLARKE Administrator, Ex Dir Board Of Dir. 270-586-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: KY 100390) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |