| NPI | 1740533363 |
|---|---|
| Doing Business As | THE LAKES OF MONCLOVA |
| Entity Type | Organization |
| Authorized Contact | KATHY CORBIN Director Of Licensing 502-213-7575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2017-11-30 |