# BUTLER REST HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Valley Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164422945
- **Authorized official:** MR. KENNETH URLAGE B.S. BUSINESS ADMINI (ADMINISTRATOR)
- **Authorized official phone:** (859) 472-2217

## Contact information

- **Practice address:** 305 TAYLOR LN, BUTLER, KY 41006-8550
- **Practice address phone:** (859) 472-2217
- **Practice address fax:** (859) 472-5869
- **Mailing address:** PO BOX 402, BUTLER, KY 41006-0402
- **Mailing address phone:** (859) 472-2217
- **Mailing address fax:** (859) 472-5869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100362 | KY | Yes |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 08/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1207260001 | DEMARC | KY |
| 05 | — | 12501540 | — | KY |