# LEXINGTON PREMIER NURSING & REHAB LLC

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

## Provider details

- **NPI number:** 1720756380
- **Authorized official:** JACOB WALDEN (AUTHORIZED SIGNATORY)
- **Authorized official phone:** (859) 415-4005

## Contact information

- **Practice address:** 2770 PALUMBO DR, LEXINGTON, KY 40509-1232
- **Practice address phone:** (859) 263-2410
- **Practice address fax:** (859) 263-2930
- **Mailing address:** 2770 PALUMBO DR, LEXINGTON, KY 40509-1232
- **Mailing address phone:** (859) 263-2410
- **Mailing address fax:** (859) 263-2930

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2021
- **Last updated:** 08/31/2021