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Organization
HANGING ROCK LTC, LLC
Active
Organization
HANGING ROCK LTC, LLC
Active
Other names
Tri-Cities Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization
Contact information
Practice address
19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-8107
(606) 589-5421
(606) 589-2097
Mailing address
19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-8107
(606) 589-5421
(606) 589-2097
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100767
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12503298
—
KY
05
—
7100168700
—
KY
Enumeration date
06/25/2006
Last updated
07/16/2021
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