Organization
ROLLINS BEDFORD CORPORATION
Active
Other names
Leitchfield Health Care Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD M WEHTJE (VP CFO)
(407) 975-3010
Entity
Organization
Contact information
Practice address
718 GOODWIN LN, LEITCHFIELD, KY 42754-1400
(270) 259-4036
(270) 259-3205
Mailing address
602 COURTLAND ST, SUITE 200, ORLANDO, FL 32804-1360
(407) 975-3000
(407) 975-3090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100149
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504114
—
KY
05
—
90003930
—
KY
Enumeration date
04/20/2007
Last updated
08/22/2020
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