| NPI | 1558455824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN CRAIG TSCHUDI Managing Member 502-429-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100113) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: KY 100113) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: KY 100113) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-02-20 |