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Organization
PHELPS KY OPCO LLC
Active
Organization
PHELPS KY OPCO LLC
Active
Other names
Good Shepherd Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization
Contact information
Practice address
60 PHILLIPS BRANCH RD, PHELPS, KY 41553-9061
(646) 649-1131
Mailing address
1449 37TH ST STE 605, BROOKLYN, NY 11218-4380
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
08/28/2019
Last updated
02/08/2023
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