# SUMMIT MANOR HEALTH & REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1861481533
- **Authorized official:** MS. MARCELLA HODGES (ADMINISTRATOR)
- **Authorized official phone:** (270) 384-2153

## Contact information

- **Practice address:** 400 BOMAR HTS, COLUMBIA, KY 42728-1511
- **Practice address phone:** (270) 384-2153
- **Practice address fax:** (270) 384-3964
- **Mailing address:** 400 BOMAR HTS, COLUMBIA, KY 42728-1511
- **Mailing address phone:** (270) 384-2153
- **Mailing address fax:** (270) 384-3964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100003 | KY | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 09/18/2014