Organization Name: | CUMBERLAND ADULT DAY HEALTH CARE CENTER |
NPI Number: | 1649311747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA D PENNYCUFF (PRESIDENT) |
Mailing Address: | 150 Short Street Burkesville |
State: | KY US |
Postal Code: | 42717 |
Phone Number: | 2708642254 |
Fax Number: | 2708647175 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 03/11/2015 |
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: |