Evan Gray, Llc

NPI 1326020348 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1326020348
Enumeration Date 11/16/2005
Last Updated 06/30/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GREG GREG
Position CHEIF OPERATING OFFICER
Phone (513) 605-5000
Fax
Practice Location
6975 BURLINGTON PIKE
FLORENCE KY, 41042-1618, US
Phone (513) 605-5000
Fax
Business Location
12500 REED HARTMAN HWY
SUITE 200
CINCINNATI OH, 45241-1892, US
Phone (513) 605-2700
Fax (513) 605-2731
Toxanomy
Taxonomy Code 314000000X
License State Kentucky
License Number 100547
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According to our database, Evan Gray, Llc NPI is 1326020348, taxonomy code is 314000000X and license number is 100547, license state is located at Kentucky. Evan Gray, Llc physically located at 6975 Burlington Pike, Florence KY, 41042-1618. NPI Number 1033115704 has the healthcare provider type.

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1326020348 NPI number is provided on an as is basis without warranty of any kind. 1326020348 is maintained by the National Plan & Provider Enumeration System. The contents of Evan Gray, Llc are for informational purposes only.