Organization
LIFESKILLS, INC.
Active
Other names
Pennyroyal Center
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMI HOLLOWAY (CHIEF FINANCIAL OFFICER)
(270) 901-5000
Entity
Organization
Contact information
Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
(270) 886-5178
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33900028
—
KY
Enumeration date
10/17/2006
Last updated
09/30/2024
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