Organization
NORTHERN KENTUCKY LIVING CENTERS LLC.
Active
Other names
The Clubhouse Adult Daycare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEATH R. CULBERSON (CEO)
(859) 954-1494
Entity
Organization
Contact information
Practice address
208 MEMORY DRIVE, FALMOUTH, KY 41040
(859) 654-8900
(859) 654-1765
Mailing address
P.O. BOX 83, FALMOUTH, KY 41040
(859) 954-1494
(859) 654-1765
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750108
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43000090
—
KY
05
—
7100199920
—
KY
Enumeration date
03/21/2007
Last updated
12/04/2014
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