Organization
COMMONWEALTH OF KENTUCKY
Active
Parent organization
COMMONWEALTH OF KENTUCKY
Other names
Paul E. Patton Eastern Kentucky Veterans Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMONWEALTH OF KENTUCKY
Authorized official
MS. JUDITH CAROLYN BRANHAM LNHA (ADMINISTRATOR)
(606) 435-6196
Entity
Organization
Contact information
Practice address
200 VETERANS DR, HAZARD, KY 41701-9484
(606) 345-6196
(606) 435-6201
Mailing address
200 VETERANS DR, HAZARD, KY 41701-9484
(606) 345-6196
(606) 435-6201
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100990
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100990
LICENSE
KY
Enumeration date
04/19/2007
Last updated
08/01/2012
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