Organization
GREEN ACRES HEALTH CARE
Active
Other names
Green Acres Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA ANN BRYANT LPN LNHA (ADMINISTRATOR)
(270) 247-6477
Entity
Organization
Contact information
Practice address
402 W FARTHING ST, MAYFIELD, KY 42066-2900
(270) 247-6477
(270) 247-0712
Mailing address
402 W FARTHING ST, MAYFIELD, KY 42066-2900
(270) 247-6477
(270) 247-0712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501342
—
KY
Enumeration date
06/16/2005
Last updated
04/17/2008
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