| NPI | 1508019514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN CRAIG TSCHUDI Member 502-690-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 6194) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |