Organization
COMMONWEALTH OF KENTUCKY
Active
Parent organization
COMMONWEALTH OF KENTUCKY
Other names
Oakwood ICF - Unit 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF KENTUCKY
Authorized official
JENNIFER MOORE (ASSISTANT DIRECTOR)
(502) 782-6117
Entity
Organization
Contact information
Practice address
400 EASTWOOD DR, 2441 S. HWY 27, SOMERSET, KY 42501
(606) 667-4068
(606) 677-4068
Mailing address
400 EASTWOOD DR, 2441 S. HWY 27, SOMERSET, KY 42501
(606) 677-4068
(606) 677-4079
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
100426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11900016
—
KY
Enumeration date
03/03/2009
Last updated
08/07/2024
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