Organization
AHF KENTUCKY-IOWA, INC
Active
Other names
GEORGETOWN MANOR NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T HAEMMERLE CPA, INACTIVE (PRESIDENT)
(614) 760-7352
Entity
Organization
Contact information
Practice address
900 GAGEL AVE, LOUISVILLE, KY 40216-4012
(502) 368-5827
(502) 361-0515
Mailing address
4248 TULLER RD, DUBLIN, OH 43017-5025
(614) 760-7352
(614) 760-7356
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501169
—
KY
Enumeration date
12/02/2005
Last updated
08/22/2020
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