# BOLSTER HEALTH CARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Auburn Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164403564
- **Authorized official:** NANCY BOLSTER OWNER (OWNER/MEMBER)
- **Authorized official phone:** (270) 265-5321

## Contact information

- **Practice address:** 139 PEARL ST, AUBURN, KY 42206-5121
- **Practice address phone:** (270) 542-4111
- **Practice address fax:** (270) 542-7026
- **Mailing address:** 139 PEARL ST, AUBURN, KY 42206-5121
- **Mailing address phone:** (270) 542-4111
- **Mailing address fax:** (270) 542-7026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100295 | KY | Yes |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 03/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12504296 | — | KY |
| 05 | — | 90005885 | — | KY |