| NPI | 1255319471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH L. STACEY President 859-581-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100266) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100266) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-08-22 |