Extendicare Homes, Inc.

NPI #1588736078 in Stanton, Kentucky

Provider Information

NPI Number
1588736078
Entity Type
Organization
Organization Name
Extendicare Homes, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 14, 2006
Last Updated
Apr 1, 2008

Practice Location

Address
31 DERICKSON LN
ZIP Code
40380-2153
Phone
(606) 663-2846

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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