| NPI | 1942310982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E. COVINGTON Administrator/Owner 270-886-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100067) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: KY 100067) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: KY 100067) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-04-16 |