Organization
OLIVIA CARES FOR KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HANNON RAKESTRAW (CHIEF EXECUTIVE OFFICER)
(859) 624-9163
Entity
Organization
Contact information
Practice address
108 AVAWAN DR, RICHMOND, KY 40475
(859) 624-9163
(859) 624-9163
Mailing address
108 AVAWAN DR, RICHMOND, KY 40475
(859) 624-9163
(859) 624-9163
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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