| NPI | 1700369576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BATYA GORELICK VP Of Administrative Services 270-821-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-12-12 |