Organization
RESIDENTIAL CARE CENTER OF PADUCAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL SHELBY (ADMINISTRATOR)
(270) 442-6441
Entity
Organization
Contact information
Practice address
2301 IRVIN COBB DR, PADUCAH, KY 42003-6447
(270) 442-6441
(270) 442-0283
Mailing address
2301 IRVIN COBB DR, PADUCAH, KY 42003-6447
(270) 442-6441
(270) 442-0283
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
100626
KY
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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