NPI 1134277452

Kentucky Independent Choices

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Frankfort, KY

Practice location

Address: 312 Saint Clair St, Frankfort, KY 40601-1820
Phone: (502) 223-2026

Authorised official

Name: Fedelis Bayenyuo Mbuagbaw
Title: Executive Director
Phone: (502) 223-2026

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 098980 (KY)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Kentucky →

Registry record

NPI: 1134277452
Entity type: Organization
NPI issued: 5 Jan 2007
Record last updated: 22 Aug 2020

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.