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Organization
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Active
Organization
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Active
Other names
Heritage Manor Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
401 INDIANA AVE, MAYFIELD, KY 42066-1766
(270) 247-0200
(270) 247-8913
Mailing address
680 S. FOURTH STREET, LOUISVILLE, KY 40202-2407
(502) 596-6505
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100481
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12503561
—
KY
01
—
54428
ANTHEM BCBS OF KY
KY
01
—
70037899
US DEPT. OF LABOR
KY
Enumeration date
07/28/2006
Last updated
09/15/2017
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