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Organization
HYDEN NURSING HOME, LLC
Active
Organization
HYDEN NURSING HOME, LLC
Active
Parent organization
FIRST CORBIN LONG TERM CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CORBIN LONG TERM CARE, INC.
Authorized official
MR. TERRY EMANUEL FORCHT (MEMBER)
(606) 528-9600
Entity
Organization
Contact information
Practice address
21040 US 421 SOUTH, HYDEN, KY 41749
(606) 672-2940
(606) 672-4167
Mailing address
PO BOX 618, HYDEN, KY 41749-0618
(606) 672-2940
(606) 672-4167
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100624
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054843
ANTHEM BCBS
—
01
—
078885500
FEDERAL BLACK LUNG
—
05
—
12505095
—
KY
Enumeration date
03/02/2007
Last updated
05/07/2008
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