Extendicare Homes, Inc.

NPI #1376617837 in Springfield, Kentucky

Provider Information

NPI Number
1376617837
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
420 E GRUNDY AVE
ZIP Code
40069-1173
Phone
(859) 336-7771

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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