| NPI | 1881352912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA L IVORY Executive Director 502-445-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-03-24 |