Organization
GREEN ACRES HEALTH SERVICES INC
Active
Other names
Green Acres Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L SKAGGS (CHIEF FINANCIAL OFFICER)
(270) 926-9355
Entity
Organization
Contact information
Practice address
402 W FARTHING ST, MAYFIELD, KY 42066-2900
(270) 247-6477
(270) 247-0712
Mailing address
725 HARVARD DR, OWENSBORO, KY 42301-6185
(270) 926-9355
(270) 684-6283
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100062260
—
KY
Enumeration date
08/20/2008
Last updated
03/24/2009
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