# REDBANKS COLONIAL TERRACE INC.

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

## Provider details

- **NPI number:** 1962780809
- **Authorized official:** MR. CHRIS PAGE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (270) 826-6436

## Contact information

- **Practice address:** 142 ROGER POWELL RD, SEBREE, KY 42455-2115
- **Practice address phone:** (270) 835-2533
- **Mailing address:** 142 ROGER POWELL RD, SEBREE, KY 42455-2115
- **Mailing address phone:** (270) 835-2533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100440 | KY | Yes |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 05/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100197090 | — | KY |