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General NPI Number Information
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NPI Number | 1770681496
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Entity Type | Organization
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Legal Business Name | ASHLAND NURSING HOME CORPORATION
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 2500 ST RT 5
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City | ASHLAND
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State | KY
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Zip | 41102
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Country | US
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Telephone | 606-324-1414
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Fax | 606-324-3420
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Provider Business Mailing Address
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Address Line | 2500 ST RT 5
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City | ASHLAND
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State | KY
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Zip | 41102
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Country | US
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Telephone | 606-324-1414
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Fax | 606-324-3420
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DANNY JOE BRAINARD
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Credential | RN BSHA
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Telephone | 606-324-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 100029
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License Number State | KY
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