Organization
GAITHER SUITES AT WEST PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GISH (EXECUTIVE DIRECTOR)
(270) 442-3999
Entity
Organization
Contact information
Practice address
4960 VILLAGE SQUARE DR, PADUCAH, KY 42001-7490
(270) 442-3999
Mailing address
4960 VILLAGE SQUARE DR, PADUCAH, KY 42001-7490
(270) 442-3999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
007718521
KY
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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