NPI Provider: 1134124167
Contact Name: Sumner John
Position: Administrator
Phone: (270) 889-6025
Western State Nursing Facility Information:
Western State Nursing Facility organization have npi 1134124167, taxonomy code is 313M00000X with license number is 100490 in . This Business address located in PO Box 2200, Hopkinsville, KY 42241 Kentucky.
Practice Location
Address: 2400 Russellville Rd, Hopkinsville, KY 42240
Phone: (270) 889-6025
Business Location
Address: PO Box 2200, Hopkinsville, KY 42241
Phone: (270) 889-6025
Fax: (270) 886-4487
Taxonomy
Taxonomy Code: 313M00000X
License Number: 100490
License Number of State: KY
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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