Organization
BOLIVAR OPERATOR LLC
Active
Other names
Pine Meadows Healthcare and Rehabilitation Center, Pine Meadows Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
(502) 429-8062
Entity
Organization
Contact information
Practice address
700 NUCKOLLS RD, BOLIVAR, TN 38008-1531
(731) 658-4707
(731) 658-4769
Mailing address
7400 NEW LA GRANGE RD, SUITE #100, LOUISVILLE, KY 40222-4870
(502) 429-8062
(502) 429-0650
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
171
TN
Other
Enumeration date
11/13/2006
Last updated
04/13/2020
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