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Organization
MADONNA MANOR, INC.
Active
Organization
MADONNA MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY DOLYK (CHIEF OPERATING OFFICER)
(567) 455-0414
Entity
Organization
Contact information
Practice address
2344 AMSTERDAM RD, VILLA HILLS, KY 41017-3712
(859) 341-3981
(859) 578-7475
Mailing address
2344 AMSTERDAM RD, VILLA HILLS, KY 41017-3712
(859) 341-3981
(859) 578-7475
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100268
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500567
—
KY
Enumeration date
06/15/2005
Last updated
05/01/2017
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