Organization
SKC1010 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI KATHERINE CAMPBELL RN (RN)
(270) 566-1274
Entity
Organization
Contact information
Practice address
170 COLSON DR, RUSSELL SPRINGS, KY 42642-4587
(270) 566-1274
Mailing address
170 COLSON DR, RUSSELL SPRINGS, KY 42642-4587
(270) 566-1274
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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