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Organization

METCALFE OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(270) 432-2921
Entity
Organization

Contact information

Practice address
701 SKYLINE DR, EDMONTON, KY 42129-8131
(270) 432-2921
(270) 432-2046
Mailing address
701 SKYLINE DR, EDMONTON, KY 42129-8131
(270) 432-2921
(270) 432-2046

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100470
LICENSE
KY
Enumeration date
01/09/2026
Last updated
01/09/2026
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