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Commonwealth Of Kentucky
Intellectual Disabilities Intermediate Care Facility in Dawson Springs, Kentucky
NPI 1194862599

Commonwealth Of Kentucky is a Intellectual Disabilities Intermediate Care Facility based in Louisville, KY. Commonwealth Of Kentucky practices in Dawson Springs, KY. The NPI Number for Commonwealth Of Kentucky is 1194862599 and holds a License No. 100458 (Kentucky).

The current practice location address for Commonwealth Of Kentucky is 23524 Dawson Springs Rd, Dawson Springs, KY and can be reached out via phone at 270-797-3771 and via fax at 270-797-3592.

Location: 23524 Dawson Springs Rd, Dawson Springs, KY, 40223-3808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194862599
Provider Name
Commonwealth Of Kentucky
Credential
Provider Entity Type
Organization
Address
23524 Dawson Springs Rd, Dawson Springs, KY, 40223-3808
Phone Number
270-797-3771
Fax Number
270-797-3592
Provider Enumeration Date
02/01/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119021111 05 KY
institution
Provider Business Practice Location Address Details
Address
23524 Dawson Springs Rd
City
Dawson Springs
State
Kentucky
Zip
42408-9205
Phone Number
270-797-3771
Fax Number
270-797-3592
person
Provider Business Mailing Address Details
Address
23524 Dawson Springs Rd
City
Dawson Springs
State
Kentucky
Zip
42408-9205
Phone Number
270-797-3771
Fax Number
270-797-3592
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
100458 (Kentucky)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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Intellectual Disabilities Intermediate Care Facility
23524 Dawson Springs Rd,
DAWSON SPRINGS, KY
42408-9205
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