Provider Demographics
NPI:1902184344
Name:CATHOLIC CHARITIES
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUSLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASE-COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-253-1993
Mailing Address - Street 1:1310 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-2048
Mailing Address - Country:US
Mailing Address - Phone:859-253-1993
Mailing Address - Fax:859-255-1134
Practice Address - Street 1:1310 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-2048
Practice Address - Country:US
Practice Address - Phone:859-253-1993
Practice Address - Fax:859-255-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3543251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable