| NPI | 1316934193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKI THOMASSON C. Administrator 270-821-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100183) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-02-11 |