| NPI | 1730830738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CAMPBELL Ar Billing Manger 859-255-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-07-18 |