| NPI | 1902847361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LOWRY President/Owner 270-825-2528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100627) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-09-24 |