Provider Demographics
NPI:1356569842
Name:WESTERN KENTUCKY VETERANS CENTER
Entity type:Organization
Organization Name:WESTERN KENTUCKY VETERANS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARDWICK-HILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:270-322-9087
Mailing Address - Street 1:926 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:KY
Mailing Address - Zip Code:42413-9401
Mailing Address - Country:US
Mailing Address - Phone:270-322-9087
Mailing Address - Fax:
Practice Address - Street 1:926 VETERANS DR
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:KY
Practice Address - Zip Code:42413-9401
Practice Address - Country:US
Practice Address - Phone:270-322-9087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100978314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility