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Organization

HANGING ROCK LTC, LLC

Active
Other names
Tri-Cities Nursing and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
GALE BOICE (CFO)
(252) 523-9094
Entity
Organization

Contact information

Practice address
19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-8107
(606) 589-5421
(606) 589-2097
Mailing address
19101 N US HIGHWAY 119, CUMBERLAND, KY 40823-8107
(606) 589-5421
(606) 589-2097

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100767
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12503298
KY
05
7100168700
KY
Enumeration date
06/25/2006
Last updated
07/16/2021
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