Organization
KINDRED NURSING CENTERS EAST, L.L.C.
Active
Other names
Kindred Nursing and Rehabilitation-Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
280 S BECKFORD DR, HENDERSON, NC 27536-2564
(252) 438-6141
(252) 438-6865
Mailing address
680 S. FOURTH ST, LOUISVILLE, KY 40202-2407
(502) 596-6505
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0307
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091N
BLUE CROSS BLUE SHIELD
NC
05
—
3415344 & 3426244
—
NC
Enumeration date
08/31/2006
Last updated
09/15/2017
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