| NPI | 1376615740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CARRICO CFO 502-896-5006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KY 100763) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-05-28 |