NPI 1396962551

Commonwealth of Kentucky

Organisation Nursing Facility/Intermediate Care Facility Hazard, KY

Practice location

Address: 200 Veterans Dr, Hazard, KY 41701-9484
Phone: (606) 345-6196
Fax: (606) 435-6201

Authorised official

Name: Judith Carolyn Branham
Title: Administrator
Phone: (606) 435-6196

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 100990 (KY)

Other Nursing Facility/Intermediate Care Facility providers in Kentucky →

Registry record

NPI: 1396962551
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 1 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.