| NPI | 1265510473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN CRAIG TSCHUDI Managing Member 502-429-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 114150) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |