Organization
GRAYSON HOUSING INCORPORATED
Active
Other names
Grayson Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BENJAMIN VANCE NHA (ADMINISTRATOR)
(270) 259-4028
Entity
Organization
Contact information
Practice address
505 WILLIAM THOMASON BYWAY, LEITCHFIELD, KY 42754-1419
(270) 259-4028
(270) 259-2417
Mailing address
505 WILLIAM THOMASON BYWAY, LEITCHFIELD, KY 42754-1419
(270) 259-4028
(270) 259-2417
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501417
—
KY
Enumeration date
12/13/2006
Last updated
01/20/2015
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