# ROLLINS BEDFORD CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Princeton Health Care Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427276104
- **Authorized official:** MR. RONALD M WEHTJE (VP CFO)
- **Authorized official phone:** (407) 975-3010

## Contact information

- **Practice address:** 1333 W MAIN ST, PRINCETON, KY 42445-6211
- **Practice address phone:** (270) 365-3541
- **Practice address fax:** (270) 365-5064
- **Mailing address:** 602 COURTLAND ST, SUITE 200, ORLANDO, FL 32804-1360
- **Mailing address phone:** (407) 975-3000
- **Mailing address fax:** (407) 975-3090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100049 | KY | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12504106 | — | KY |
| 05 | — | 90003955 | — | KY |
