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Organization

SUNRISE MANOR OPCO LLC

Active
Other names
Cumberland Nursing and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(606) 678-5104
Entity
Organization

Contact information

Practice address
200 NORFLEET DR, SOMERSET, KY 42501-1931
(606) 678-5104
(606) 677-4925
Mailing address
200 NORFLEET DR, SOMERSET, KY 42501-1931
(606) 678-5104
(606) 677-4925

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100373
LICENSE
KY
05
7100579330
KY
Enumeration date
10/02/2018
Last updated
09/01/2022
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