Organization
EASTER SEALS WEST KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA CARRICO (VP ADULT SERVICES)
(270) 443-1200
Entity
Organization
Contact information
Practice address
2229 MILDRED ST., PADUCAH, KY 42001
(270) 443-1200
(270) 444-0655
Mailing address
801 N 29TH ST., PADUCAH, KY 42001
(270) 443-1200
(270) 444-0655
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750088
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43005735
—
KY
Enumeration date
07/12/2006
Last updated
06/23/2014
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