Easter Seals West Kentucky
Organization Active NPI Adult Day Care Clinic/Center · Benton, KY
NPI 1114192168 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1114192168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- License
- 750148 (KY)
- Legal business name
- EASTER SEALS WEST KENTUCKY
- Practice address
- 84 Commerce Blvd
Benton, KY 42025-1110 - Phone
- (270) 527-1332
- Fax
- (270) 527-1566
- NPI assigned
- Apr 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. George William Kennedy
- Title
- V.P. Adult Services
- Phone
- (270) 443-1200
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Easter Seals West Kentucky
Locations
84 Commerce Blvd
Benton, KY 42025
Phone (270) 527-1332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 750148 | KY | Yes |
Addresses
Primary practice location
84 Commerce Blvd
Benton, KY 42025-1110
Mailing address
2229 Mildred St
Paducah, KY 42001-3067
Phone (270) 443-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100022550 | Medicaid | KY |
Other providers in Benton, KY
- Elisha Dougherty
- DRS. Naulty & Lampkin
- Deanna Leigh Duncan
- Dungarvin Kentucky, LLC - Benton
- Karissa Paige Dyke
- Egner Chiropractic and Rehabilitation Center, PLLC
- Kyle Daryl Egner
- Joe E Ellis
- Faye English
- Christina Joy Etheridge
All providers in Benton, KY · Adult Day Care Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.