Organization Name: | FOREVER CARE DBA INDEPENDENT OPPORTUNITIES |
NPI Number: | 1033275755 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE H. HARVEY (CHIEF OPPERATIONS OFFICER) |
Mailing Address: | 400 S Main St Suite 200 London |
State: | KY US |
Postal Code: | 407411909 |
Phone Number: | 6068779209 |
Fax Number: | 6068771770 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 12/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |