# PROSTEP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXTENDICARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164754206
- **Legal business name:** EXTENDICARE
- **Authorized official:** DR. TODD BROCKMAN (PHYSICAL THERAPIST)
- **Authorized official phone:** (859) 342-8775

## Contact information

- **Practice address:** 3876 TURKEYFOOT RD, ELSMERE, KY 41018-2838
- **Practice address phone:** (859) 342-8775
- **Mailing address:** 3876 TURKEYFOOT RD, ELSMERE, KY 41018-2838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 003723 | KY | Yes |

## Other

- **Enumeration date:** 01/30/2010
- **Last updated:** 01/30/2010