# CEDAR CREEK ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRESBYTERIAN HOMES & SERVICES OF KENTUCKY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215260880
- **Legal business name:** PRESBYTERIAN HOMES & SERVICES OF KENTUCKY
- **Authorized official:** MRS. LAVINIA A O'CONNOR (A/R MANAGER)
- **Authorized official phone:** (502) 259-9101

## Contact information

- **Practice address:** 156 WINSTON DRIVE, PIKEVILLE, KY 41501
- **Practice address phone:** (606) 432-8243
- **Practice address fax:** (606) 433-9805
- **Mailing address:** P.O. BOX 18067, LOUISVILLE, KY 40261-0067
- **Mailing address phone:** (502) 259-9101
- **Mailing address fax:** (502) 259-9109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 20011109801 | KY | Yes |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 09/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20011109801 | ASSISTED LIVING COMMUNITY CERTIFICATION | KY |