Organization
KENTUCKY EASTER SEAL SOCIETY INC
Active
Parent organization
KENTUCKY EASTER SEAL SOCIETY INC
Other names
Cardinal Hill Rehabilitation Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKY EASTER SEAL SOCIETY INC
Authorized official
MARTY A. LAUTNER (VICE PRESIDENT/CFO)
(859) 254-5701
Entity
Organization
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 254-5701
(859) 233-1615
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 254-5701
(859) 233-1615
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
100100
KY
283X00000X
Rehabilitation Hospital
Primary
100100
KY
333600000X
Pharmacy
P05154
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054501
ANTHEM
—
05
—
01021237
—
KY
01
—
1062621
PASSPORT
—
01
—
253
FIRST STEPS
KY
05
—
2638739
—
OH
Enumeration date
09/14/2006
Last updated
06/08/2012
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