Jackson Manor LLC

NPI #1902250012 in Annville, Kentucky

Provider Information

NPI Number
1902250012
Entity Type
Organization
Organization Name
Jackson Manor LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 15, 2016
Last Updated
Apr 15, 2016

Practice Location

Address
96 HIGHWAY 3444
ZIP Code
40402-8245
Phone
(502) 714-7444

Authorized Official

Name
MRS. ROBIN BARBER
Title
EXECUTIVE VICE PRESIDENT
Phone
(502) 714-7444

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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