| NPI | 1154341923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD L. LACY CFO 502-753-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100225) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: KY 760006) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-10-14 |