| NPI | 1558627281 |
|---|---|
| Doing Business As | MOUNTAIN MANOR OF PAINTSVILLE |
| Entity Type | Organization |
| Authorized Contact | EMILY REGENEA JONES-GRAY Administrator 606-789-5808 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: KY 101129) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2015-03-02 |