Easter Seals West Kentucky
Organization Active NPI Adult Day Care Clinic/Center · Paducah, KY
NPI 1164447124 · NPPES record last updated Jun 23, 2014
Key facts
- NPI
- 1164447124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- License
- 750088 (KY)
- Legal business name
- EASTER SEALS WEST KENTUCKY
- Practice address
- 2229 Mildred St.
Paducah, KY 42001 - Phone
- (270) 443-1200
- Fax
- (270) 444-0655
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa Carrico
- Title
- VP Adult Services
- Phone
- (270) 443-1200
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Easter Seals West Kentucky
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 750088 | KY | Yes |
Addresses
Primary practice location
2229 Mildred St.
Paducah, KY 42001
Mailing address
801 N 29TH St.
Paducah, KY 42001
Phone (270) 443-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43005735 | Medicaid | KY |
Other providers in Paducah, KY
- Robert Glenn Durrett
- Lana Suzette Dycus
- Michele Dykes
- Dynamic Therapy Concepts PLLC
- Ear Nose & Throat Group PSC
- Easter Seals West Kentucky
- Easter Seals West Kentucky, Inc.
- Easycare Inc
- Kelli Edging
- Kenneth Wayne Edmisson Jr.
All providers in Paducah, 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 Jun 23, 2014. 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.