Organization
FIR LANE TERRACE CONVALESCENT CENTER, INC.
Active
Other names
Kenwood Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J MAASSEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization
Contact information
Practice address
130 MEADOWLARK DR, RICHMOND, KY 40475-2238
(859) 623-9472
(859) 625-3065
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12505160
—
KY
Enumeration date
07/10/2006
Last updated
08/25/2010
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