| NPI | 1386863561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN SWEGER Administrator 502-564-9281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100651) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KY 100651) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2016-02-29 |