Organization
PENNYRILE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS BURKE (ADMINISTRATOR)
(270) 886-9915
Entity
Organization
Contact information
Practice address
502 NOEL AVE, HOPKINSVILLE, KY 42240-1361
(270) 886-9915
Mailing address
502 NOEL AVE, HOPKINSVILLE, KY 42240
(270) 886-9915
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
087878
KY
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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