NPI | 1982604518 |
---|---|
Doing Business As | MOUNTAIN MANOR OF PAINTSVILLE |
Entity Type | Organization |
Authorized Contact | EMILY REGENEA JONES-GRAY Administrator 606-789-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100688) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: KY 7100209150) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2016-03-25 |