NPI | 1104223270 |
---|---|
Doing Business As | MEDILODGE OF WESTWOOD |
Entity Type | Organization |
Authorized Contact | STACEY PAUL ROGERS Chief Financial Officer 502-429-0650 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2014-12-04 |
Last Update Date | 2015-07-17 |