Organization
BUTLER REST HOME, INC
Active
Other names
River Valley Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH URLAGE B.S. BUSINESS ADMINI (ADMINISTRATOR)
(859) 472-2217
Entity
Organization
Contact information
Practice address
305 TAYLOR LN, BUTLER, KY 41006-8550
(859) 472-2217
(859) 472-5869
Mailing address
PO BOX 402, BUTLER, KY 41006-0402
(859) 472-2217
(859) 472-5869
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100362
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1207260001
DEMARC
KY
05
—
12501540
—
KY
Enumeration date
07/22/2005
Last updated
08/27/2010
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