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Organization
DJ LETCHER MANOR LLC
Active
Organization
DJ LETCHER MANOR LLC
Active
Other names
Letcher Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MORROW (VP OF ADMINISTRATIVE SUPPORT)
(859) 623-0898
Entity
Organization
Contact information
Practice address
73 PIEDMONT DR, WHITESBURG, KY 41858-7668
(606) 633-1434
(606) 633-3450
Mailing address
300 PROVIDER CT, SUITE 100, RICHMOND, KY 40475-8488
(859) 623-0898
(859) 623-0843
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504189
—
KY
05
—
90160763
—
KY
Enumeration date
10/17/2005
Last updated
05/06/2008
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