# GRAYSON HOUSING INCORPORATED

> 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:** Grayson Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437210515
- **Authorized official:** MR. JOSEPH BENJAMIN VANCE NHA (ADMINISTRATOR)
- **Authorized official phone:** (270) 259-4028

## Contact information

- **Practice address:** 505 WILLIAM THOMASON BYWAY, LEITCHFIELD, KY 42754-1419
- **Practice address phone:** (270) 259-4028
- **Practice address fax:** (270) 259-2417
- **Mailing address:** 505 WILLIAM THOMASON BYWAY, LEITCHFIELD, KY 42754-1419
- **Mailing address phone:** (270) 259-4028
- **Mailing address fax:** (270) 259-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100150 | KY | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 01/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12501417 | — | KY |