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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICIA ANN SHAIN R.N., C.C.M (NURSE CASE MANAGER)
(502) 500-4113
Entity
Organization

Contact information

Practice address
2847 KY HIGHWAY 3003, CYNTHIANA, KY 41031-8207
(859) 235-0102
Mailing address
2847 KY HIGHWAY 3003, CYNTHIANA, KY 41031-8207
(859) 235-0102

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
OH

Other

Enumeration date
09/13/2010
Last updated
07/21/2022
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