| NPI | 1881010569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN BURBA PT 270-769-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY KY 002888) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |