Organization
LINCOLN WAY LLC JANICE DIANE HAYCRAFT SINGLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE DIANE HAYCRAFT (OWNER)
(270) 358-6088
Entity
Organization
Contact information
Practice address
103 LINCOLN DR, HODGENVILLE, KY 42748-9780
(270) 358-6088
(270) 358-6089
Mailing address
103 LINCOLN DR, HODGENVILLE, KY 42748-9780
(270) 358-6088
(270) 358-6089
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33001587
—
KY
Enumeration date
02/14/2008
Last updated
09/30/2014
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