Organization
HARBORVIEW DOVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ENGLANDER (MEMBER)
(516) 523-4822
Entity
Organization
Contact information
Practice address
112 DOVER DR, GEORGETOWN, KY 40324-9741
(502) 863-9529
(502) 863-2862
Mailing address
112 DOVER DR, GEORGETOWN, KY 40324-9741
(502) 863-9529
(502) 863-2862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100480
LICENSE
KY
Enumeration date
10/16/2019
Last updated
10/16/2019
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