| NPI | 1487298832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CAMPBELL Ar Billing Manager 859-255-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-09-18 |