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Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA KAY HARPER RN (ADMINISTRATER)
(270) 406-0008
Entity
Organization

Contact information

Practice address
1059 DUTCH CREEK RD, BURKESVILLE, KY 42717-9114
(270) 406-0008
Mailing address
1059 DUTCH CREEK ROAD, BURKESVILLE, KY 42717
(270) 406-0008

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1106032
KY

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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