| |
1012 Richwood Way, Lagrange, KY 40031-8930 | |
(502) 222-3186 | |
(502) 222-6535 |
Full Name | |
---|---|
Type | Facility |
Speciality | Skilled Nursing Facility |
Location | 1012 Richwood Way, Lagrange, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700978806 | NPI | - | NPPES |
000000054853 | Other | KY | ANTHEM BC/BS |
2702411000 | Other | KY | PASSPORT ADVANTAGE |
12503413 | Medicaid | KY |
Mailing Address | Practice Location Address |
---|---|
1012 Richwood Way, Lagrange, KY 40031-8930 Ph: (502) 222-3186 | 1012 Richwood Way, Lagrange, KY 40031-8930 Ph: (502) 222-3186 |