Organization
THE GROVE AT LEXINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA DAWN TAYLOR (EXECUTIVE DIRECTOR)
(859) 388-4347
Entity
Organization
Contact information
Practice address
3150 CUSTER DR, SUITE 201, LEXINGTON, KY 40517-4010
(859) 271-1101
(859) 271-1161
Mailing address
3150 CUSTER DR, SUITE 201, LEXINGTON, KY 40517-4010
(859) 271-1101
(859) 271-1161
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
7100043250
KY
Other
Enumeration date
11/24/2007
Last updated
10/02/2008
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