FERN TERRACE OF OWENSBORO LLC NPI 1568790665

NPI Information

FERN TERRACE OF OWENSBORO, LLC is an assisted living facility in Owensboro, KY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. FERN TERRACE OF OWENSBORO, LLC NPI is 1568790665. The provider is registered as an organization entity type.

The provider's business location address is:

45 WOODFORD AVE
OWENSBORO, KY
ZIP 42301-563
Phone: (270) 684-7171

The provider's authorized official is Harry D Simpson .
The authorized official title is Owner and has the following contact phone number (270) 683-5571.

The CLIA number assigned to this NPI record is 18D1000566 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 12/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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