Organization
KENTUCKY MEDICAL INVESTORS, LLC
Active
Other names
Laurel Creek Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S CROSS (ASST. SECRETARY FOR LCCA, MANAGER)
(423) 473-5867
Entity
Organization
Contact information
Practice address
1033 N HIGHWAY 11, MANCHESTER, KY 40962-5478
(606) 598-6163
(606) 598-6154
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100502
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12502027
—
KY
Enumeration date
06/01/2006
Last updated
06/04/2014
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