Organization
KINDRED NURSING CENTERS EAST, L.L.C.
Active
Other names
Kindred Transitional Care and Rehabilitation-Rose Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN A. WEAVER (ASSISTANT SECRETARY)
(502) 596-7300
Entity
Organization
Contact information
Practice address
4230 N ROXBORO ST, DURHAM, NC 27704-1826
(919) 477-9805
(919) 479-5261
Mailing address
680 S. FOURTH ST, LOUISVILLE, KY 40202-2407
(502) 596-6505
(502) 596-4134
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0089R
BLUE CROSS BLUE SHIELD
NC
05
—
3425081 & 3426114
—
NC
Enumeration date
07/21/2006
Last updated
09/15/2017
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