| NPI | 1922001148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J MCINTOSH Assistant Controller 270-338-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100480) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 90003377) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-08-18 |