| Organization Name: | CORNELL MEMORY CENTER |
| NPI Number: | 1083094932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA JO SMITH (DIRECTOR, CENTRAL BILLING OFFICE) |
| Mailing Address: | 101 North Drive Hopkinsville |
| State: | KY US |
| Postal Code: | 42240 |
| Phone Number: | 2708851375 |
| Fax Number: | 2708851377 |
| NPI Enumeration Date: | 06/05/2015 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |