NPI 1659673655
Modern Care LLC
Practice location
- Address
- 104 Nancy Cox Dr Suite D, Campbellsville, KY 42718-6834
- Phone
- (270) 465-8508
- Fax
- (270) 465-8504
Authorised official
- Name
- Trina R Sandusky
- Title
- Member
- Phone
- (502) 523-8044
Registered specialties (2)
Adult Care Home Facility
Primary
Custodial Care Facility
Registry record
- NPI
- 1659673655
- Entity type
- Organization
- NPI issued
- 23 Nov 2010
- Record last updated
- 18 Jul 2016
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.