| NPI | 1548246754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE GRAY Administrator 270-388-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100300) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: KY 100300) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-08-22 |