| NPI | 1922098227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE HAEFER Secertary Treasurer 859-987-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100166) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2019-08-26 |