Gainesville Manor
NPI #1881865863 in Hopkinsville, Kentucky
Provider Information
- NPI Number
- 1881865863
- Entity Type
- Organization
- Organization Name
- Gainesville Manor
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Mar 18, 2008
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 550 MOORES DR
- City
- Hopkinsville
- State
- Kentucky
- ZIP Code
- 42240
- Phone
- (270) 886-0258
Authorized Official
- Name
- IDA WOODARD
- Title
- ADMINISTRATOR
- Phone
- (270) 886-0258
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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