Organization
NEW JEFFERSON MANOR, LLC
Active
Other names
Jefferson Manor Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM MORRIS (ADMINISTRATOR)
(502) 426-4513
Entity
Organization
Contact information
Practice address
1801 LYNN WAY, LOUISVILLE, KY 40222-6552
(502) 426-4513
(502) 426-7041
Mailing address
1801 LYNN WAY, LOUISVILLE, KY 40222-6552
(502) 426-4513
(502) 426-7041
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100533
KY
Other
Enumeration date
10/14/2005
Last updated
04/01/2014
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