# NEW ROCKFORD MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockford Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720077555
- **Authorized official:** MS. LISA GANN (ADMINISTRATOR)
- **Authorized official phone:** (502) 448-5850

## Contact information

- **Practice address:** 4700 QUINN DR, LOUISVILLE, KY 40216-2943
- **Practice address phone:** (502) 448-5850
- **Practice address fax:** (502) 448-9563
- **Mailing address:** 4700 QUINN DR, LOUISVILLE, KY 40216-2943
- **Mailing address phone:** (502) 448-5850
- **Mailing address fax:** (502) 448-9563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100453 | KY | Yes |

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 03/24/2014