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Organization
COMMONWEALTH OF KENTUCKY
Active
Organization
COMMONWEALTH OF KENTUCKY
Active
Other names
Carl M.Brashear Radcliff Veterans Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CORRINE MILLER (FISCAL MANAGER)
(270) 352-6700
Entity
Organization
Contact information
Practice address
100 VETERANS DR, RADCLIFF, KY 40160-9515
(270) 352-6700
(270) 351-5530
Mailing address
100 VETERANS DRIVE, RADCLIFF, KY 40160
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043686900
NPI
KY
05
—
7100477940
—
KY
Enumeration date
08/14/2015
Last updated
11/18/2024
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