| NPI | 1083877302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE WILLIAMS Sole Proprietor 502-744-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 4753P) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-25 |