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 |