# PIKEVILLE NURSING AND REHAB CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pikeville Nursing and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265919344
- **Authorized official:** JACOB WALDEN (MANAGING MEMBER)
- **Authorized official phone:** (845) 641-0543

## Contact information

- **Practice address:** 260 S MAYO TRL, PIKEVILLE, KY 41501-1520
- **Practice address phone:** (606) 437-7327
- **Practice address fax:** (606) 432-9428
- **Mailing address:** 260 S MAYO TRL, PIKEVILLE, KY 41501-1520
- **Mailing address phone:** (606) 437-7327
- **Mailing address fax:** (606) 432-9428

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2018
- **Last updated:** 07/23/2018