# COMMONWEALTH OF KENTUCKY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMONWEALTH OF KENTUCKY
- **Other names:** Glasgow State Nursing Facility, Glasgow State Nursing Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972506731
- **Legal business name:** COMMONWEALTH OF KENTUCKY
- **Authorized official:** MS. AMANDA ALLEN (FACILITY DIRECTOR)
- **Authorized official phone:** (270) 659-4707

## Contact information

- **Practice address:** 207 STATE AVE, GLASGOW, KY 42141-1400
- **Practice address phone:** (270) 659-4700
- **Practice address fax:** (270) 651-1726
- **Mailing address:** 207 STATE AVE, GLASGOW, KY 42141-1400
- **Mailing address phone:** (270) 659-4700
- **Mailing address fax:** (270) 651-1726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100483 | KY | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 06/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12400016 | — | KY |