| NPI | 1588869812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE K BECKER Accounts Receivable Supervisor 502-779-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |