Organization
WENDELL FOSTER'S CAMPUS FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY HAYDEN (VICE PRESIDENT)
(270) 852-1439
Entity
Organization
Contact information
Practice address
815 TRIPLETT ST, OWENSBORO, KY 42303-3564
(270) 683-4517
(270) 683-0079
Mailing address
815 TRIPLETT ST, OWENSBORO, KY 42303-3564
(270) 683-4517
(270) 852-1490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
KY
225X00000X
Occupational Therapist
—
KY
235Z00000X
Speech-Language Pathologist
—
KY
261QM0850X
Adult Mental Health Clinic/Center
—
KY
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
KY
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
KY
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11903135
—
KY
01
—
184517
184517
KY
05
—
33000035
—
KY
05
—
45118379
—
KY
05
—
7100337840
—
KY
05
—
7100343070
—
KY
05
—
7100344330
—
KY
05
—
7100427110
—
KY
Enumeration date
07/25/2006
Last updated
04/10/2026
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