| NPI | 1770078263 |
|---|---|
| Doing Business As | MEDILODGE AT THE SHORE |
| Entity Type | Organization |
| Authorized Contact | STACEY P ROGERS Chief F Inancial Officer 502-429-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-07-16 |