| NPI | 1063405843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A. WEAVER Assistant Secretary 502-596-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 5241) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OH 5241) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2017-10-18 |