Whalio Doctors

NPI 1659673655

Modern Care LLC

Organisation Adult Care Home Facility Campbellsville, KY

Practice location

Address
104 Nancy Cox Dr Suite D, Campbellsville, KY 42718-6834
Phone
(270) 465-8508
Fax
(270) 465-8504

Authorised official

Name
Trina R Sandusky
Title
Member
Phone
(502) 523-8044

Registered specialties (2)

Adult Care Home Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311ZA0620X
Custodial Care Facility
Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Registry record

NPI
1659673655
Entity type
Organization
NPI issued
23 Nov 2010
Record last updated
18 Jul 2016

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.