Organization · Type 2 NPI
Commonwealth of Kentucky
Intellectual Disabilities Intermediate Care Facility · Mount Washington, KY
NPI number
1689652513
Active
Practice location
210 Meadows Dr
Mount Washington, KY 40047-6013
Fax (502) 363-6114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 100695 (KY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1689652513
Commonwealth of Kentucky's National Provider Identifier is 1689652513, issued on Dec 30, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mount Washington, KY. The record was last updated on Aug 7, 2024.