# SHELBYVILLE KY OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crestview Health and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982270641
- **Authorized official:** MICK VUJANOVIC (CEO)
- **Authorized official phone:** (502) 667-8150

## Contact information

- **Practice address:** 1871 MIDLAND TRL, SHELBYVILLE, KY 40065-9111
- **Practice address phone:** (502) 633-2454
- **Mailing address:** 2100 CHEROKEE RIDGE WAY STE 100, LOUISVILLE, KY 40205-1600
- **Mailing address phone:** (502) 667-8150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 10/09/2024