# VISTA RIDGE SNF OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Barkley Health & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336958727
- **Authorized official:** DILLION CARVER (REGIONAL DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (270) 784-4469

## Contact information

- **Practice address:** 1253 LAKE BARKLEY DR, KUTTAWA, KY 42055-6124
- **Practice address phone:** (270) 388-2291
- **Mailing address:** 1253 LAKE BARKLEY DR, KUTTAWA, KY 42055-6124
- **Mailing address phone:** (270) 388-2291

## Taxonomy

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

## Other

- **Enumeration date:** 12/31/2024
- **Last updated:** 12/31/2024