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Organization
NEW JACKSON MANOR, LLC
Active
Organization
NEW JACKSON MANOR, LLC
Active
Other names
Jackson Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP GILKISON (ADMINISTRATOR)
(606) 364-5197
Entity
Organization
Contact information
Practice address
121 STATE ROAD 3444, ANNVILLE, KY 40402-8701
(606) 364-5197
(606) 364-2293
Mailing address
PO BOX 194, ANNVILLE, KY 40402-0194
(606) 364-5197
(606) 364-2293
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100602
KY
Other
Enumeration date
10/14/2005
Last updated
03/24/2014
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