NPI 1194862599

Commonwealth of Kentucky

Organisation Intellectual Disabilities Intermediate Care Facility Dawson Springs, KY

Practice location

Address: 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205
Phone: (270) 797-3771
Fax: (270) 797-3592
Mailing address: 9901 Linn Station Rd, Louisville, KY 40223-3808

Authorised official

Name: Jennifer Moore
Title: Assistant Director
Phone: (502) 782-6117

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 100458 (KY)

Other Intermediate Care Facility, Intellectual Disabilities providers in Kentucky →

Registry record

NPI: 1194862599
Entity type: Organization
NPI issued: 1 Feb 2007
Record last updated: 7 Aug 2024

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.