| NPI | 1518954486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MACK Administrator 859-781-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: KY 100056) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: KY 100056) |
| 314000000X Skilled Nursing Facility (Licence: KY 100056) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2017-03-22 |