| NPI | 1780143826 |
|---|---|
| Doing Business As | SHEPHERD SHELTER ROSS REHAB |
| Doing Business As | THE SHEPHERDS SHELTER/ROSS REHAB |
| Entity Type | Organization |
| Authorized Contact | CHARLES WAYNE ROSS Director 859-509-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-02-09 |