| NPI | 1053344457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM DAVIS Administrator 859-987-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100024) |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 314000000X Skilled Nursing Facility (Licence: KY 100024) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2026-05-19 |