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Organization
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Active
Organization
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Active
Other names
Kindred Nursing and Rehabilitation - Fairpark
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
307 N 5TH ST, MARYVILLE, TN 37804-2921
(865) 983-0261
(865) 984-7669
Mailing address
680 S. FOURTH ST, LOUISVILLE, KY 40202-2407
(502) 596-6505
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000012
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100031947
PREFERRED HEALTH PRTNSHP.
TN
01
—
162316
BLUE CROSS BLUE SHIELD
TN
05
—
44-5286 & 7440480
—
TN
01
—
702003623
CARITEN
TN
Enumeration date
07/22/2006
Last updated
09/18/2017
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