Organization · Type 2 NPI

Commonwealth of Kentucky

Nursing Facility/Intermediate Care Facility · Wilmore, KY

NPI number 1386863561 Active

Practice location

100 Veterans Dr
Wilmore, KY 40390-9775

Fax (859) 858-4039

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X100651 (KY)
Skilled Nursing Facility 314000000X100651 (KY)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1386863561

Commonwealth of Kentucky's National Provider Identifier is 1386863561, issued on Apr 25, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Wilmore, KY. The record was last updated on Feb 29, 2016.