Organization
THAMES HEALTHCARE GROUP, LLC
Active
Other names
Lakeway Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
2607 MAIN ST, BENTON, KY 42025-7601
(270) 527-3296
(270) 527-9349
Mailing address
PO BOX 385, BENTON, KY 42025-0385
(270) 527-3296
(270) 527-9349
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10514
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501029
—
KY
05
—
7100169230
—
KY
Enumeration date
06/20/2006
Last updated
07/14/2021
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