| NPI | 1679040869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BATYA GORELICK VP Of Administrative Services 270-653-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2019-03-25 |