SENIOR MANAGEMENT LLC
Adult Care Home
Butler, Kentucky
Provider NPI: 1508043316
Organization Information:Organization Name: SENIOR MANAGEMENT LLC
Practice Location:
213 MAIN ST. BUTLER, KY 41006 US
Tel: 859-472-6011 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
213 MAIN ST. BUTLER, KY 41006 US
Tel: 859-472-6011 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | KY | 100360 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
KY.ST.LICENSE NUMBER | 100360 | KY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin