Organization
COMMONWEALTH OF KENTUCKY
Active
Other names
Carl M.Brashear Radcliff Veterans Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CORRINE MILLER (FISCAL MANAGER)
(270) 352-6700
Entity
Organization
Contact information
Practice address
100 VETERANS DR, RADCLIFF, KY 40160-9515
(270) 352-6700
(270) 351-5530
Mailing address
100 VETERANS DRIVE, RADCLIFF, KY 40160
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043686900
NPI
KY
05
—
7100477940
—
KY
Enumeration date
08/14/2015
Last updated
11/18/2024
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