COMMONWEALTH OF KENTUCKY is an intermediate care facility mentally retarded in Dawson Springs, KY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMONWEALTH OF KENTUCKY NPI is 1194862599. The provider is registered as an organization entity type.
The provider Is Doing Business As Outwood Icf.
The provider's business location address is:
23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY
ZIP 42408-205
Phone: (270) 797-3771
Fax: (270) 797-3592
The provider's authorized official is Wendy Morris .
The authorized official title is Deputy Commissioner and has the following contact phone number (502) 564-4527.
The CLIA number assigned to this NPI record is 18D0691213 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/1/2007 and was last updated on 5/6/2014.