Organization
MAYSVILLE MANOR LLC
Active
Other names
Maysville Extended Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MORROW (VP OF ADMINISTRATIVE SUPPORT)
(859) 623-0898
Entity
Organization
Contact information
Practice address
620 PARKER RD, MAYSVILLE, KY 41056-9620
(606) 564-4085
(606) 564-8835
Mailing address
300 PROVIDER CT, SUITE 100, RICHMOND, KY 40475-8488
(859) 623-0898
(859) 623-0843
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100333
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501292
—
KY
05
—
90160763
—
KY
Enumeration date
10/17/2005
Last updated
05/05/2008
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