Organization
CAMPBELLSVILLE OPERATING COMPANY LLC
Active
Other names
Campbellsville Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(270) 465-3506
Entity
Organization
Contact information
Practice address
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
(270) 465-3506
(270) 789-4010
Mailing address
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
(270) 465-3506
(270) 789-4010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100392
LICENSE
KY
05
—
7100580850
—
KY
Enumeration date
10/02/2018
Last updated
09/01/2022
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