NPI 1639714843
Kentucky Custom Care Professionals
Practice location
- Address
- 3200 Patton Rd, Boston, KY 40107-4010
- Phone
- (502) 331-1085
- Mailing address
- 3200 Patton Rd, Boston, KY 40107-8700
Authorised official
- Name
- Kimberly Fenwick
- Title
- Owner
- Phone
- (502) 331-1085
Registered specialties
Custodial Care Facility
Primary
Registry record
- NPI
- 1639714843
- Entity type
- Organization
- NPI issued
- 12 Nov 2019
- Record last updated
- 12 Nov 2019
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.