Organization
GUIDING LIGHTS PLC
Active
Other names
Lincoln Trail Adult Day care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IJAZ MAHMOOD M.D. (DIRECTOR)
(270) 300-4461
Entity
Organization
Contact information
Practice address
555 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-3301
(270) 900-1461
(270) 900-1468
Mailing address
1239 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2770
(270) 900-1461
(270) 900-1468
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
31150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64311509
—
KY
Enumeration date
03/07/2017
Last updated
03/07/2017
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