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Organization
PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC
Active
Organization
PAVILION AT KENTON FOR NURSING AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL A MOERMAN (AUTHORIZED OFFICIAL)
(848) 299-3662
Entity
Organization
Contact information
Practice address
401 E 20TH ST, COVINGTON, KY 41014-1583
(859) 283-6600
Mailing address
156 BEACH 9TH ST APT 9F, FAR ROCKAWAY, NY 11691-5636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
07/20/2017
Last updated
03/06/2018
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