New Jefferson Manor, LLC
NPI #1295724086 in Louisville, Kentucky
Provider Information
- NPI Number
- 1295724086
- Entity Type
- Organization
- Organization Name
- New Jefferson Manor, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 14, 2005
- Last Updated
- Apr 1, 2014
Practice Location
- Address
- 1801 LYNN WAY
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40222-6552
- Phone
- (502) 426-4513
Authorized Official
- Name
- MR. JIM MORRIS
- Title
- ADMINISTRATOR
- Phone
- (502) 426-4513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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