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Organization
NAZARETH HOME INC
Active
Organization
NAZARETH HOME INC
Active
Other names
Nazareth Literary & Benevolent Institution Nazareth Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN WHEATLEY CPA (CHIEF FINANCIAL OFFICER)
(502) 459-9681
Entity
Organization
Contact information
Practice address
2000 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 459-9681
(502) 456-9077
Mailing address
2000 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 459-9681
(502) 456-9077
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100467
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500666
—
KY
Enumeration date
11/14/2006
Last updated
10/26/2011
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