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Organization
LP ANNVILLE, LLC
Active
Organization
LP ANNVILLE, LLC
Active
Parent organization
SIGNATURE HEALTHCARE, LLC
Other names
Signature Healthcare at Jackson Manor Rehab & Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE HEALTHCARE, LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
96 HIGHWAY 3444, ANNVILLE, KY 40402-8245
(606) 364-5197
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
NULL
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
10/15/2015
Last updated
04/03/2023
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