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Organization
ASHLAND NURSING HOME CORPORATION
Active
Organization
ASHLAND NURSING HOME CORPORATION
Active
Other names
Kingsbrook Lifecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY JOE BRAINARD RN BSHA (ADMINISTRATOR)
(606) 324-1414
Entity
Organization
Contact information
Practice address
2500 ST RT 5, ASHLAND, KY 41102
(606) 324-1414
(606) 324-3420
Mailing address
2500 ST RT 5, ASHLAND, KY 41102
(606) 324-1414
(606) 324-3420
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100029
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246141
ANTHEM BLUE CROSS
—
05
—
12504304
—
KY
Enumeration date
09/20/2006
Last updated
03/09/2010
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