| NPI | 1083637011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A WEAVER Assistant Secretary 502-596-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 22) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-10-18 |