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Organization
LANCASTER MEDICAL INVESTORS LLC
Active
Organization
LANCASTER MEDICAL INVESTORS LLC
Active
Other names
Christian Care Center of Lancaster
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY R LEWIS (CHIEF MANAGER)
(423) 975-5455
Entity
Organization
Contact information
Practice address
308 WEST MAPLE AVE, LANCASTER, KY 40444
(859) 792-6844
(859) 792-1806
Mailing address
308 WEST MAPLE AVE, LANCASTER, KY 40444
(859) 792-6844
(859) 792-1806
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
100719
KY
314000000X
Skilled Nursing Facility
Primary
1000719
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504551
—
KY
Enumeration date
12/01/2005
Last updated
04/15/2014
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