| NPI | 1912995127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE LEWIS CEO 606-877-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KY 150090) |
| Additional Taxonomies | 251B00000X Case Management (Licence: KY 42620021) |
| 252Y00000X Early Intervention Provider Agency (Licence: KY 45343969) | |
| 251X00000X Supports Brokerage (Licence: KY 90012964) | |
| 251J00000X Nursing Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2015-01-28 |