| NPI | 1750738506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KOFI KPONYOH CEO 502-542-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |