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Organization
RIDGEWOOD TERRACE, LLC
Active
Organization
RIDGEWOOD TERRACE, LLC
Active
Other names
Ridgewood Terrace Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LOWRY (PRESIDENT/OWNER)
(270) 825-2528
Entity
Organization
Contact information
Practice address
150 CORNWALL DR, MADISONVILLE, KY 42431-8781
(270) 825-0166
(270) 825-0169
Mailing address
150 CORNWALL DR, MADISONVILLE, KY 42431-8781
(270) 825-0166
(270) 825-0169
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100627
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100627
LICENSE
KY
05
—
12504577
—
KY
Enumeration date
06/09/2006
Last updated
09/24/2019
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