| NPI | 1649484015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM B GEORGE Manager 502-751-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100646) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2018-04-27 |