| NPI | 1356764559 |
|---|---|
| Doing Business As | EASTERN STATE HOSPITAL LONG TERM CARE/ACQUIRED BRAIN INJURY (LTC/ABI) |
| Entity Type | Organization |
| Authorized Contact | WENDY T MORRIS Deputy Commissioner 502-564-4860 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 101245) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2015-11-03 |