Organization
KINDRED NURSING CENTERS EAST, L.L.C.
Active
Other names
Kindred Transitional Care and Rehabilitation-Eagle Pond
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN WEAVER (DIRECTOR, LICENSURE & CERTIFICATION)
(502) 596-7563
Entity
Organization
Contact information
Practice address
1 LOVE LN, SOUTH DENNIS, MA 02660-3445
(508) 385-6034
(508) 385-7064
Mailing address
680 S 4TH ST # KH-2, LOUISVILLE, KY 40202-2407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0877
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926451
—
MA
01
—
1034438
UNITED HEALTH CARE
MA
01
—
2222532001
BLUE CROSS BLUE SHIELD
MA
01
—
4437871
AETNA
MA
01
—
805117
TUFTS
MA
01
—
903325
HPHC
MA
Enumeration date
09/05/2006
Last updated
12/12/2017
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