| NPI | 1902256597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAY HARPER Administrater 270-406-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 1106032) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |