| NPI | 1134124167 |
|---|---|
| Doing Business As | WESTERN STATE NURSING FACILITY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CRAYCRAFT Director 502-782-6243 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100490) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-07-07 |