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Commonwealth Of Kentucky
Intellectual Disabilities Intermediate Care Facility in Somerset, Kentucky
NPI 1679713630

Commonwealth Of Kentucky is a Intellectual Disabilities Intermediate Care Facility based in Somerset, KY. Commonwealth Of Kentucky practices in Somerset, KY. The NPI Number for Commonwealth Of Kentucky is 1679713630 and holds a License No. 100426 (Kentucky).

The current practice location address for Commonwealth Of Kentucky is 400 Eastwood Dr, Somerset, KY and can be reached out via phone at 606-667-4068 and via fax at 606-677-4068.

Location: 400 Eastwood Dr, Somerset, KY, 42501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679713630
Provider Name
Commonwealth Of Kentucky
Credential
Provider Entity Type
Organization
Address
400 Eastwood Dr, Somerset, KY, 42501
Phone Number
606-667-4068
Fax Number
606-677-4068
Provider Enumeration Date
03/03/2009
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11900016 05 KY
institution
Provider Business Practice Location Address Details
Address
400 Eastwood Dr
City
Somerset
State
Kentucky
Zip
42501
Phone Number
606-667-4068
Fax Number
606-677-4068
person
Provider Business Mailing Address Details
Address
400 Eastwood Dr
City
Somerset
State
Kentucky
Zip
42501
Phone Number
606-667-4068
Fax Number
606-677-4068
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
100426 (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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