# BRADFORD SQUARE HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bradford Square Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700593456
- **Authorized official:** MAYER FISCHI (OWNER/MANAGING MEMBER)
- **Authorized official phone:** (718) 757-6933

## Contact information

- **Practice address:** 1040 US HIGHWAY 127 SOUTH, FRANKFORT, KY 40601
- **Practice address phone:** (502) 875-5600
- **Mailing address:** 300 PROVIDER COURT, RICHMOND, KY 40475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022