| NPI | 1023039872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A. WEAVER Assistant Secretary 502-596-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WA 1256) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-10-18 |