Organization
CARE LINKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M KEOWN ARNP (ARNP)
(502) 477-2911
Entity
Organization
Contact information
Practice address
851 MCINTOSH DR, TAYLORSVILLE, KY 40071-8407
(502) 477-2911
Mailing address
851 MCINTOSH DR, TAYLORSVILLE, KY 40071-8407
(502) 477-2911
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3968P
KY
311ZA0620X
Adult Care Home Facility
3968P
KY
313M00000X
Nursing Facility/Intermediate Care Facility
3968P
KY
314000000X
Skilled Nursing Facility
3968P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0966601
MEDICARE-UNSPECIFIED
KY
05
—
78903952
—
KY
Enumeration date
03/31/2010
Last updated
03/31/2010
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