Organization
LORETTO MOTHERHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ESSEX (ADMINISTRATOR)
(270) 856-5811
Entity
Organization
Contact information
Practice address
515 NERINX RD, NERINX, KY 40049-9998
(270) 865-5811
(270) 865-5013
Mailing address
515 NERINX RD, NERINX, KY 40049-9998
(270) 865-5811
(270) 865-5013
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054559
BC/BS OF KENTUCKY
KY
05
—
12501839
—
KY
Enumeration date
09/27/2005
Last updated
05/03/2012
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