| NPI | 1841211703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A. WEAVER Assistant Secretary 502-596-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0929) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2017-12-12 |