Organization
CARMEL MANOR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MACK (ADMINISTRATOR)
(859) 781-5111
Entity
Organization
Contact information
Practice address
100 CARMEL MANOR ROAD, FT. THOMAS, KY 41075-2395
(859) 781-5111
(859) 781-2337
Mailing address
100 CARMEL MANOR ROAD, FT. THOMAS, KY 41075-2395
(859) 781-5111
(859) 781-2337
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
100056
KY
311Z00000X
Custodial Care Facility
100056
KY
314000000X
Skilled Nursing Facility
100056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12502332
—
KY
Enumeration date
10/05/2005
Last updated
03/22/2017
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