| NPI | 1710292503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D BLANC Managing Partner 859-221-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QA0900X Clinic/Center Amputee |
| 282N00000X General Acute Care Hospital | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |