Provider Demographics
NPI:1164101663
Name:COX FARMHOUSE
Entity Type:Organization
Organization Name:COX FARMHOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-353-8131
Mailing Address - Street 1:116 MILLER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-3057
Mailing Address - Country:US
Mailing Address - Phone:859-353-8131
Mailing Address - Fax:
Practice Address - Street 1:116 MILLER DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3057
Practice Address - Country:US
Practice Address - Phone:859-353-8131
Practice Address - Fax:859-368-7681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility