Provider Demographics
NPI:1467612507
Name:TAYLOR MANOR INC.
Entity Type:Organization
Organization Name:TAYLOR MANOR INC.
Other - Org Name:TAYLOR MANOR NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:859-873-4201
Mailing Address - Street 1:300 BERRY AVE
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1474
Mailing Address - Country:US
Mailing Address - Phone:859-873-4201
Mailing Address - Fax:
Practice Address - Street 1:300 BERRY AVE
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1474
Practice Address - Country:US
Practice Address - Phone:859-873-4201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100420313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility