| NPI | 1053659490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA MICHELLE MCKINNEY Cota/L 270-625-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY A2305) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |