Organization
WEST LIBERTY NURSING AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PRUITT (OFFICER)
(317) 288-4029
Entity
Organization
Contact information
Practice address
774 LIBERTY RD, WEST LIBERTY, KY 41472-2052
(606) 743-3846
Mailing address
100 BOULEVARD OF AMERICAS, LAKEWOOD, NJ 08701-4585
(732) 961-8400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
07/20/2023
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