Organization
EASTER SEALS WEST KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA CARRICO (VP ADULT SERVICES)
(270) 443-1200
Entity
Organization
Contact information
Practice address
2229 MILDRED ST., PADUCAH, KY 42001
(270) 443-1200
(270) 444-0655
Mailing address
801 N. 29TH ST, PADUCAH, KY 42001
(270) 443-1200
(270) 444-0655
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33900424
—
KY
05
—
7100156980
—
KY
Enumeration date
03/22/2007
Last updated
07/07/2014
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