# HANGING ROCK LTC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain View Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578599023
- **Authorized official:** GALE BOICE (CFO)
- **Authorized official phone:** (252) 523-9094

## Contact information

- **Practice address:** 39 FERNDALE APARTMENTS RD, PINEVILLE, KY 40977-8578
- **Practice address phone:** (606) 337-7071
- **Practice address fax:** (606) 337-1364
- **Mailing address:** FERNDALE APARTMENTS ROAD, PINEVILLE, KY 40977-8578
- **Mailing address phone:** (606) 337-7071
- **Mailing address fax:** (606) 337-1364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100496 | KY | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 07/16/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054713 | BC/BS OF KY | KY |
| 05 | — | 12501078 | — | KY |
| 05 | — | 7100169050 | — | KY |