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Extendicare Homes, Inc.

NPI #1255405700 in Cadiz, Kentucky

Provider Information

NPI Number
1255405700
Entity Type
Organization
Organization Name
Extendicare Homes, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 17, 2006
Last Updated
Apr 1, 2008

Practice Location

Address
2582 CERULEAN RD
City
Cadiz
State
Kentucky
ZIP Code
42211-9605
Phone
(270) 522-3236

Authorized Official

Name
DONNA JO MAASSEN
Title
DIRECTOR OF COMPLIANCE
Phone
(414) 908-8119

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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