ALETA CANNON

LIBERTY, KY
NPI1619131349
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: KY  R3196)
Enumeration Date2008-07-11
Last Update Date2008-07-11
Business Address
-- ALETA CANNON OTR/L
616 S WALLACE WILKINSON BLVD
LIBERTY, KY 42539-3344
Phone number: 606-787-6889
Mailing Address
-- ALETA CANNON OTR/L
1575 LANNOCK DR
DANVILLE, KY 40422-9236
Phone number:
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