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Organization
HENDERSON COUNTY HEALTH CARE CORPORATION
Active
Organization
HENDERSON COUNTY HEALTH CARE CORPORATION
Active
Other names
Redbanks Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHUMBLER (ADMINISTRATOR)
(270) 826-6436
Entity
Organization
Contact information
Practice address
851 KIMSEY LN, HENDERSON, KY 42420-2665
(270) 826-6436
(270) 826-7953
Mailing address
851 KIMSEY LN, HENDERSON, KY 42420-2665
(270) 826-6436
(270) 826-7953
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100423
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500591
—
KY
01
—
750171
ADULT DAY HEALTH CARE
KY
05
—
9000571100
—
KY
01
—
D10725
SALES TAX USAGE NUMBER
KY
Enumeration date
01/11/2006
Last updated
01/28/2014
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