Organization
NRINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI HOUSE (EXECUTIVE DIRECTOR)
(859) 259-9687
Entity
Organization
Contact information
Practice address
101 VENTURE CT, LEXINGTON, KY 40511-1295
(859) 259-9687
Mailing address
101 VENTURE CT, LEXINGTON, KY 40511-1295
(859) 259-9687
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
720205
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
720205
PRIVATE INS
KY
Enumeration date
08/15/2011
Last updated
08/15/2011
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