| NPI | 1104141357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M KEOWN A RN P 502-477-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KY 3968p) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: KY 3968p) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 3968p) | |
| 314000000X Skilled Nursing Facility (Licence: KY 3968p) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |