| NPI | 1982123212 |
|---|---|
| Doing Business As | FIRSTLIGHT OF THE FOOTHILLS |
| Entity Type | Organization |
| Authorized Contact | SHADOW LEE SKAGGS Co Owner 606-393-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: KY 500280) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |