NPI 1114345121

Phoenix Way, LLC

Organisation Developmentally Disabled Services Day Training Agency Campbellsville, KY

Practice location

Address: 4142 Old Columbia Rd, Campbellsville, KY 42718-9352
Phone: (270) 283-4352

Authorised official

Name: Lucretia Rene Vaughn
Title: Program Director
Phone: (270) 789-9564

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Kentucky →

Registry record

NPI: 1114345121
Entity type: Organization
NPI issued: 7 Apr 2014
Record last updated: 2 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.