| NPI | 1750765640 |
|---|---|
| Other Name | CONNECTICUT ROAD |
| Entity Type | Organization |
| Authorized Contact | DEENA G. OMBRES Assoc. Gen. Counsel/Privacy Officer 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |