| NPI | 1356528699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY V ROGERS Member 502-459-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |