| NPI | 1770887531 |
|---|---|
| Doing Business As | FOREST LAKE |
| Entity Type | Organization |
| Authorized Contact | BELINDA MORRISON CEO 502-779-7608 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |