Organization
EASTER SEALS WEST KENTUCKY
Active
Organization
EASTER SEALS WEST KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WILLIAM KENNEDY (V.P. ADULT SERVICES)
(270) 443-1200
Entity
Organization
Contact information
Practice address
84 COMMERCE BLVD, BENTON, KY 42025-1110
(270) 527-1332
(270) 527-1566
Mailing address
2229 MILDRED ST, PADUCAH, KY 42001-3067
(270) 443-1200
(270) 444-0655
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750148
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100022550
—
KY
Enumeration date
04/29/2008
Last updated
04/29/2008
Update your record
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