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Organization
HIGHLANDS NURSING AND REHABILITATION CENTER, LLC
Active
Organization
HIGHLANDS NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELVA GONZALEZ (CFO)
(786) 385-4364
Entity
Organization
Contact information
Practice address
1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
(502) 451-7330
Mailing address
1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
(502) 451-7330
(502) 238-5240
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500781
—
KY
Enumeration date
05/19/2006
Last updated
07/31/2012
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