NPI | 1629296306 |
---|---|
Doing Business As | RUSSELLVILLE HEALTH CARE MANOR |
Entity Type | Organization |
Authorized Contact | RONALD M WEHTJE VP CFO 407-975-3010 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100299) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2008-04-04 |