Organization
BOLSTER HEALTH CARE GROUP LLC
Active
Other names
Auburn Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BOLSTER OWNER (OWNER/MEMBER)
(270) 265-5321
Entity
Organization
Contact information
Practice address
139 PEARL ST, AUBURN, KY 42206-5121
(270) 542-4111
(270) 542-7026
Mailing address
139 PEARL ST, AUBURN, KY 42206-5121
(270) 542-4111
(270) 542-7026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504296
—
KY
05
—
90005885
—
KY
Enumeration date
11/11/2005
Last updated
03/24/2014
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