Organization
HAZARD NURSING HOME, INC.
Active
Parent organization
FIRST CORBIN LONG TERM CARE, INC.
Other names
Hazard Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CORBIN LONG TERM CARE, INC.
Authorized official
MR. TERRY EMANUEL FORCHT (CHAIRMAN)
(606) 528-9600
Entity
Organization
Contact information
Practice address
390 PARK AVE., HAZARD, KY 41701
(606) 439-2306
(606) 439-2275
Mailing address
PO BOX 1329, HAZARD, KY 41702-1329
(606) 439-2306
(606) 439-2275
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100462
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054718
ANTHEM BCBS
KY
05
—
12500179
—
KY
Enumeration date
09/06/2006
Last updated
05/07/2008
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