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Organization
CUMBERLAND VALLEY MANOR, INC.
Active
Organization
CUMBERLAND VALLEY MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL SHEPARD (ADMINISTRATOR)
(270) 864-4315
Entity
Organization
Contact information
Practice address
301 S MAIN ST, BURKESVILLE, KY 42717-9625
(270) 864-4315
(270) 864-3721
Mailing address
PO BOX 438, BURKESVILLE, KY 42717-0438
(270) 864-4315
(270) 864-3721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100471
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501607
—
KY
Enumeration date
06/16/2005
Last updated
01/06/2010
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