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Martin Manor Llc

Martin Manor Llc is a health care provider in Richmond, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 197 Turkey Creek Road, Inez, KY 41224, US
Practice Location Phone606-298-0091
Practice Location Fax606-298-3084
Legal Business NameMARTIN MANOR LLC
NPI ?1457340903
Entity TypeOrganization
Enumeration Date ? Oct 18, 2005
Last Update Date ? Mar 21, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Martin Manor Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 100661Kentucky

legacy-id-icon Legacy Provider IDs of Martin Manor Llc

Provider IdIssuer StateIssuer TypeIssuer
7100231800KentuckyMedicaid
90160763KentuckyMedicaid
12504197KentuckyMedicaid

official-icon Authorized Official of Martin Manor Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Martin Manor Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Kimberly Morrow
Authorized Official Title/PositionVP OF ADMINISTRATIVE SUPPORT
Authorized Official Phone Number859-623-0898