Organization
HENDERSON COUNTY HEALTH CARE CORPORATION
Active
Other names
Redbanks Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHUMBLER (ADMINISTRATOR)
(270) 826-6436
Entity
Organization
Contact information
Practice address
851 KIMSEY LN, HENDERSON, KY 42420-2665
(270) 826-6436
(270) 826-7953
Mailing address
851 KIMSEY LN, HENDERSON, KY 42420-2665
(270) 826-6436
(270) 826-7953
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100423
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12500591
—
KY
01
—
750171
ADULT DAY HEALTH CARE
KY
05
—
9000571100
—
KY
01
—
D10725
SALES TAX USAGE NUMBER
KY
Enumeration date
01/11/2006
Last updated
01/28/2014
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