| NPI | 1447203658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM THIENEMAN Administrator 502-896-3924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100482) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |