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THE EPISCOPAL CHURCH HOME, INC.

Custodial Care Facility

Louisville, Kentucky

Provider NPI: 1811012289

Organization Information:
Organization Name:  THE EPISCOPAL CHURCH HOME, INC.


Practice Location:
7504 WESTPORT ROAD  LOUISVILLE, KY 40222 US
Tel: 502-736-7800  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
KY100203
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
KY100203
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
KY100203

Other Provider Identifiers:

IssuerNumberStateType
12502225KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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