Organization
ANTIQUITY HEALTHCARE
Active
Other names
Antiquity Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA LYNETTE CHAPMAN N.P. (NURSE PRACTITIONER)
(812) 246-1640
Entity
Organization
Contact information
Practice address
1319 ONWARD WAY, SELLERSBURG, IN 47172-9447
(502) 889-5868
(812) 246-1640
Mailing address
1319 ONWARD WAY, SELLERSBURG, IN 47172-9447
(502) 889-5868
(812) 246-1640
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
5528P
KY
313M00000X
Nursing Facility/Intermediate Care Facility
5528P
KY
314000000X
Skilled Nursing Facility
Primary
5528P
KY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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