| NPI | 1447320676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTA TRAYLOR Administrator 502-596-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: OH 1458) |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2025-06-11 |