NPI 1467821769

Chrisian Couny Manor LLC

Organisation Custodial Care Facility Hopkinsville, KY

Practice location

Address: 2820 Richard St, Hopkinsville, KY 42240-1670
Phone: (270) 886-9900
Mailing address: 2820 Richard Street, Hopkinsville, KY 42240

Authorised official

Name: Maria Marinez
Title: Administraor
Phone: (270) 886-9900

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 100064 (KY)

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Registry record

NPI: 1467821769
Entity type: Organization
NPI issued: 17 Sep 2015
Record last updated: 17 Sep 2015

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.