NPI | 1790840056 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID FUQUA Administrator 270-527-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: KY 600078) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2013-07-10 |