Organization
RED BOILING SPRINGS TN OPCO LLC
Active
Other names
The Palace Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICK VUJANOVIC (CEO)
(502) 667-8150
Entity
Organization
Contact information
Practice address
309 MAIN ST, RED BOILING SPRINGS, TN 37150-2149
(615) 699-2238
Mailing address
2100 CHEROKEE RIDGE WAY STE 100, LOUISVILLE, KY 40205-1600
(502) 667-8150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/01/2019
Last updated
10/09/2024
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