Organization
KINDRED NURSING CENTERS LIMITED PARTNERSHIP
Active
Other names
Heritage Manor Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
401 INDIANA AVE, MAYFIELD, KY 42066-1766
(270) 247-0200
(270) 247-8913
Mailing address
680 S. FOURTH STREET, LOUISVILLE, KY 40202-2407
(502) 596-6505
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100481
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12503561
—
KY
01
—
54428
ANTHEM BCBS OF KY
KY
01
—
70037899
US DEPT. OF LABOR
KY
Enumeration date
07/28/2006
Last updated
09/15/2017
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