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Organization
CHRISIAN COUNY MANOR LLC
Active
Organization
CHRISIAN COUNY MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARINEZ (ADMINISTRAOR)
(270) 886-9900
Entity
Organization
Contact information
Practice address
2820 RICHARD ST, HOPKINSVILLE, KY 42240-1670
(270) 886-9900
Mailing address
2820 RICHARD STREET, HOPKINSVILLE, KY 42240
(270) 886-9900
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
100064
KY
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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