# OH MUHLENBERG, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649225210
- **Authorized official:** MR. JOHN HACKBARTH JR. (TREASURER)
- **Authorized official phone:** (270) 417-2000

## Contact information

- **Practice address:** 440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
- **Practice address phone:** (270) 338-8000
- **Practice address fax:** (270) 338-8278
- **Mailing address:** 440 HOPKINSVILLE ST, PO BOX 387, GREENVILLE, KY 42345-1124
- **Mailing address phone:** (270) 338-8000
- **Mailing address fax:** (270) 338-8278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100734 | KY | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 01/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12501508 | — | KY |
| 05 | — | 7100489270 | — | KY |