| NPI | 1851930606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETRA BRADSHAW Owner 859-466-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-02-14 |