# COMMONWEALTH OF KENTUCKY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMONWEALTH OF KENTUCKY
- **Other names:** Paul E. Patton Eastern Kentucky Veterans Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396962551
- **Legal business name:** COMMONWEALTH OF KENTUCKY
- **Authorized official:** MS. JUDITH CAROLYN BRANHAM LNHA (ADMINISTRATOR)
- **Authorized official phone:** (606) 435-6196

## Contact information

- **Practice address:** 200 VETERANS DR, HAZARD, KY 41701-9484
- **Practice address phone:** (606) 345-6196
- **Practice address fax:** (606) 435-6201
- **Mailing address:** 200 VETERANS DR, HAZARD, KY 41701-9484
- **Mailing address phone:** (606) 345-6196
- **Mailing address fax:** (606) 435-6201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100990 | KY | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100990 | LICENSE | KY |