| NPI | 1073189734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVORA KIRSCHNER VP Of Administrative Services 270-684-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |