NPI | 1356516207 |
---|---|
Doing Business As | ANTIQUITY HEALTHCARE |
Entity Type | Organization |
Authorized Contact | DANA LYNETTE CHAPMAN Nurse Practitioner 812-246-1640 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 5528P) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: KY 5528P) |
313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 5528P) | |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |