NPI 1730329897
Commonwealth of Kentucky
Practice location
- Address
- 400 Eastwood 2441 S. Hwy 27, Somerset, KY 42501
- Phone
- (606) 677-4068
- Fax
- (606) 677-4079
- Mailing address
- 400 Eastwood Dr 2441 S. Hwy 27, Somerset, KY 42501
Authorised official
- Name
- Jennifer Moore
- Title
- Assistant Director
- Phone
- (502) 782-6117
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1730329897
- Entity type
- Organization
- NPI issued
- 3 Mar 2009
- 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.