Organization
EVAN GRAY, LLC
Active
Other names
Florence Park Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG MILLER (CHEIF OPERATING OFFICER)
(513) 605-2700
Entity
Organization
Contact information
Practice address
6975 BURLINGTON PIKE, FLORENCE, KY 41042-1618
(513) 605-5000
Mailing address
12500 REED HARTMAN HWY, SUITE 200, CINCINNATI, OH 45241-1892
(513) 605-2700
(513) 605-2731
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100547
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504312
—
KY
Enumeration date
11/16/2005
Last updated
06/30/2010
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