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Organization
ROCKCASTLE HEALTH AND REHABILITATION CENTER, INC.
Active
Organization
ROCKCASTLE HEALTH AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BLACK (CFO)
(606) 256-2195
Entity
Organization
Contact information
Practice address
371 WEST MAIN STREET, BRODHEAD, KY 40409-9701
(606) 758-8711
Mailing address
371 WEST MAIN STREET, BRODHEAD, KY 40409-9701
(606) 758-8711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100375
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054638
BLUE CROSS BLUE SHIELD
KY
01
—
0641200001
DME
KY
05
—
12501037
—
KY
Enumeration date
02/10/2006
Last updated
08/22/2020
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