Organization
COMMUNITY ALTERNATIVES KENTUCKY, INC.
Active
Other names
DMH First Source
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
95 E SOMERSET CHURCH RD, SOMERSET, KY 42503-4952
(606) 678-5186
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29100336
—
KY
Enumeration date
08/01/2008
Last updated
08/01/2008
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