| NPI | 1083030100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL CLAYTON Speech Language Pathologist 270-256-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 4023) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |