Organization
THE LAKES OF PADUCAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA MERIWETHER (OWNER)
(270) 448-7777
Entity
Organization
Contact information
Practice address
2265 OLIVET CHURCH RD, PADUCAH, KY 42001-9769
(270) 448-7777
Mailing address
2265 OLIVET CHURCH RD, PADUCAH, KY 42001-9769
(270) 448-7777
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
20150107305
KY
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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