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Organization
SHELBYVILLE KY OPCO LLC
Active
Organization
SHELBYVILLE KY OPCO LLC
Active
Other names
Crestview Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICK VUJANOVIC (CEO)
(502) 667-8150
Entity
Organization
Contact information
Practice address
1871 MIDLAND TRL, SHELBYVILLE, KY 40065-9111
(502) 633-2454
Mailing address
2100 CHEROKEE RIDGE WAY STE 100, LOUISVILLE, KY 40205-1600
(502) 667-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
06/02/2021
Last updated
10/09/2024
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