# LANDMARK OF BREATHITT COUNTY REHABILITATION AND NURSING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154036606
- **Authorized official:** JEFFREY SAX (MANAGER)
- **Authorized official phone:** (219) 898-5705

## Contact information

- **Practice address:** 420 JETT DR, JACKSON, KY 41339-9621
- **Practice address phone:** (606) 666-2456
- **Mailing address:** 6101 NIMTZ PKWY, SOUTH BEND, IN 46628-6111
- **Mailing address phone:** (219) 898-5705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2023
- **Last updated:** 01/19/2023