| NPI | 1962791426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE STOLZE Occupational Therapy Assistant 606-219-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KY ky-A3295) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |