# ANTIQUITY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Antiquity Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356516207
- **Authorized official:** MRS. DANA LYNETTE CHAPMAN N.P. (NURSE PRACTITIONER)
- **Authorized official phone:** (812) 246-1640

## Contact information

- **Practice address:** 1319 ONWARD WAY, SELLERSBURG, IN 47172-9447
- **Practice address phone:** (502) 889-5868
- **Practice address fax:** (812) 246-1640
- **Mailing address:** 1319 ONWARD WAY, SELLERSBURG, IN 47172-9447
- **Mailing address phone:** (502) 889-5868
- **Mailing address fax:** (812) 246-1640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 5528P | KY | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 5528P | KY | — |
| 314000000X | Skilled Nursing Facility | 5528P | KY | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008
