| NPI | 1467878512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA MICHELLE MCKINNEY Occupational Therapist Assistant 270-625-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY KYA2305) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |