# EVAN GRAY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Florence Park Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326020348
- **Authorized official:** MR. GREG MILLER (CHEIF OPERATING OFFICER)
- **Authorized official phone:** (513) 605-2700

## Contact information

- **Practice address:** 6975 BURLINGTON PIKE, FLORENCE, KY 41042-1618
- **Practice address phone:** (513) 605-5000
- **Mailing address:** 12500 REED HARTMAN HWY, SUITE 200, CINCINNATI, OH 45241-1892
- **Mailing address phone:** (513) 605-2700
- **Mailing address fax:** (513) 605-2731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100547 | KY | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 06/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12504312 | — | KY |