| NPI | 1518413889 |
|---|---|
| Doing Business As | EMERALD TRACE |
| Entity Type | Organization |
| Authorized Contact | LONDA LEAH KNOLLMAN Executive Director 859-431-2244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |