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Organization
CEDAR CREEK ASSISTED LIVING
Active
Organization
CEDAR CREEK ASSISTED LIVING
Active
Parent organization
PRESBYTERIAN HOMES & SERVICES OF KENTUCKY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESBYTERIAN HOMES & SERVICES OF KENTUCKY
Authorized official
MRS. LAVINIA A O'CONNOR (A/R MANAGER)
(502) 259-9101
Entity
Organization
Contact information
Practice address
156 WINSTON DRIVE, PIKEVILLE, KY 41501
(606) 432-8243
(606) 433-9805
Mailing address
P.O. BOX 18067, LOUISVILLE, KY 40261-0067
(502) 259-9101
(502) 259-9109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
20011109801
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20011109801
ASSISTED LIVING COMMUNITY CERTIFICATION
KY
Enumeration date
09/14/2009
Last updated
09/14/2009
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