| NPI | 1306841200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SHEPARD Administrator 270-864-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100471) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-01-06 |