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Organization
GREEN ACRES HEALTH CARE
Active
Organization
GREEN ACRES HEALTH CARE
Active
Other names
Green Acres Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA ANN BRYANT LPN LNHA (ADMINISTRATOR)
(270) 247-6477
Entity
Organization
Contact information
Practice address
402 W FARTHING ST, MAYFIELD, KY 42066-2900
(270) 247-6477
(270) 247-0712
Mailing address
402 W FARTHING ST, MAYFIELD, KY 42066-2900
(270) 247-6477
(270) 247-0712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501342
—
KY
Enumeration date
06/16/2005
Last updated
04/17/2008
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