# NEW GREEN VALLEY HEALTH & REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Valeey Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235128901
- **Authorized official:** MR. ALAN WADE (ADMINISTRATOR)
- **Authorized official phone:** (502) 732-6683

## Contact information

- **Practice address:** 1206 11TH ST, CARROLLTON, KY 41008-9704
- **Practice address phone:** (502) 732-6683
- **Practice address fax:** (502) 732-0330
- **Mailing address:** 1206 11TH ST, CARROLLTON, KY 41008-9704
- **Mailing address phone:** (502) 732-6683
- **Mailing address fax:** (502) 732-0330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100494 | KY | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 03/24/2014