Organization
BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RODMAN (ASST. SECRETARY)
(407) 975-3011
Entity
Organization
Contact information
Practice address
950 HIGHPOINT DR, HOPKINSVILLE, KY 42240-2570
(270) 885-1151
(270) 885-7461
Mailing address
485 N KELLER RD, SUITE 250, MAITLAND, FL 32751-7503
(407) 975-3000
(407) 975-3090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100070
KY
332B00000X
Durable Medical Equipment & Medical Supplies
90003997
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100025460
—
KY
05
—
90003997
—
KY
Enumeration date
07/30/2006
Last updated
12/30/2015
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