NPI | 1104800101 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN M. SELLS President/CEO 573-471-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100181) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2020-08-22 |