Organization
SENIOR MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED J MOLLOZZI (ADMINISTRATOR)
(859) 472-6011
Entity
Organization
Contact information
Practice address
213 MAIN ST., BUTLER, KY 41006-0231
(859) 472-6011
(859) 472-6030
Mailing address
PO BOX 231, BUTLER, KY 41006-0231
(859) 472-6011
(859) 472-6030
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
100360
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100360
KY.ST.LICENSE NUMBER
KY
Enumeration date
01/23/2008
Last updated
06/23/2008
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