# HANGING ROCK LTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri-Cities Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144256595
- **Authorized official:** GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-8107
- **Practice address phone:** (606) 589-5421
- **Practice address fax:** (606) 589-2097
- **Mailing address:** 19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-8107
- **Mailing address phone:** (606) 589-5421
- **Mailing address fax:** (606) 589-2097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100767 | KY | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 07/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12503298 | — | KY |
| 05 | — | 7100168700 | — | KY |