| NPI | 1881550432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE COOKE Owner/Operator 502-888-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |