Commonwealth of Kentucky

NPI #1396962551 in Hazard, Kentucky

Provider Information

NPI Number
1396962551
Entity Type
Organization
Organization Name
Commonwealth of Kentucky
Subpart
Yes (part of a larger organization)
Parent Organization
COMMONWEALTH OF KENTUCKY
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Apr 19, 2007
Last Updated
Aug 1, 2012

Practice Location

Address
200 VETERANS DR
City
Hazard
ZIP Code
41701-9484
Phone
(606) 345-6196

Authorized Official

Name
MS. JUDITH CAROLYN BRANHAM, LNHA
Title
ADMINISTRATOR
Phone
(606) 435-6196

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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