Lincoln Way LLC Janice Diane Haycraft Single Mbr
NPI #1336317122 in Hodgenville, Kentucky
Provider Information
- NPI Number
- 1336317122
- Entity Type
- Organization
- Organization Name
- Lincoln Way LLC Janice Diane Haycraft Single Mbr
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 14, 2008
- Last Updated
- Sep 30, 2014
Practice Location
- Address
- 103 LINCOLN DR
- City
- Hodgenville
- State
- Kentucky
- ZIP Code
- 42748-9780
- Phone
- (270) 358-6088
Authorized Official
- Name
- JANICE DIANE HAYCRAFT
- Title
- OWNER
- Phone
- (270) 358-6088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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