Organization
KENTUCKY EASTER SEAL SOCIETY INC
Active
Other names
Cardinal Hill Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
TIM MACK WILSON (VICE PRESIDENT CFO)
(859) 254-5701
Entity
Organization
Contact information
Practice address
2050 VERSAILLES ROAD, LEXINGTON, KY 40504
(859) 254-5701
(859) 233-1615
Mailing address
2050 VERSAILLES ROAD, LEXINGTON, KY 40504
(859) 254-5701
(859) 233-1615
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
100100
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45010519
—
KY
Enumeration date
01/31/2007
Last updated
08/22/2020
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