NPI | 1760505556 |
---|---|
Other Name | EC HOUS COPPERFIELD |
Entity Type | Organization |
Authorized Contact | ANGIE MATTINGLY Director 502-630-7138 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2007-04-09 |
Last Update Date | 2025-06-19 |