Organization
MADONNA MANOR INC
Active
Other names
Madonna Manor Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MULLAHY (EXECUTIVE DIRECTOR)
(859) 426-6400
Entity
Organization
Contact information
Practice address
2344 AMSTERDAM RD, VILLA HILLS, KY 41017-3712
(859) 426-6400
(859) 578-7472
Mailing address
2344 AMSTERDAM RD, VILLA HILLS, KY 41017-3712
(859) 426-6400
(859) 578-7472
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
KY
314000000X
Skilled Nursing Facility
185241
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043215296
NPI
KY
Enumeration date
01/14/2013
Last updated
01/14/2013
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