NPI 1881865863

Gainesville Manor

Organisation Custodial Care Facility Hopkinsville, KY

Practice location

Address: 550 Moores Dr, Hopkinsville, KY 42240
Phone: (270) 886-0258

Authorised official

Name: Ida Woodard
Title: Administrator
Phone: (270) 886-0258

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 100066 (KY)

Other Custodial Care Facility providers in Kentucky →

Registry record

NPI: 1881865863
Entity type: Organization
NPI issued: 18 Mar 2008
Record last updated: 18 Mar 2008

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.