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Commonwealth Of Kentucky
Intellectual Disabilities Intermediate Care Facility in Crestwood, Kentucky
NPI 1306824230

Commonwealth Of Kentucky is a Intellectual Disabilities Intermediate Care Facility based in Crestwood, KY. Commonwealth Of Kentucky practices in Crestwood, KY. The NPI Number for Commonwealth Of Kentucky is 1306824230 and holds a License No. 100696 (Kentucky).

The current practice location address for Commonwealth Of Kentucky is 9001 Park Wood Dr, Crestwood, KY and can be reached out via phone at 502-361-2301 and via fax at 502-363-6114.

Location: 9001 Park Wood Dr, Crestwood, KY, 40014-9499
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306824230
Provider Name
Commonwealth Of Kentucky
Credential
Provider Entity Type
Organization
Address
9001 Park Wood Dr, Crestwood, KY, 40014-9499
Phone Number
502-361-2301
Fax Number
502-363-6114
Provider Enumeration Date
12/30/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11933157 05 KY
institution
Provider Business Practice Location Address Details
Address
9001 Park Wood Dr
City
Crestwood
State
Kentucky
Zip
40014-9499
Phone Number
502-361-2301
Fax Number
502-363-6114
person
Provider Business Mailing Address Details
Address
9001 Park Wood Dr
City
Crestwood
State
Kentucky
Zip
40014-9499
Phone Number
502-361-2301
Fax Number
502-363-6114
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
100696 (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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