| NPI | 1053344457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LEE ROBERTS Administrator 859-987-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100024) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KY 100024) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-05-25 |