Commonwealth of Kentucky

NPI #1194862599 in Dawson Springs, Kentucky

Provider Information

NPI Number
1194862599
Entity Type
Organization
Organization Name
Commonwealth of Kentucky
Subpart
Yes (part of a larger organization)
Parent Organization
COMMONWEALTH OF KENTUCKY
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 1, 2007
Last Updated
Aug 7, 2024

Practice Location

Address
23524 DAWSON SPRINGS RD
ZIP Code
42408-9205
Phone
(270) 797-3771

Authorized Official

Name
JENNIFER MOORE
Title
ASSISTANT DIRECTOR
Phone
(502) 782-6117

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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