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Organization

CHRISTOPHER EAST HEALTH CARE CENTER OF LOUISVILLE KY LLC

Active
Other names
Heartland of Louisville
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization

Contact information

Practice address
4200 BROWNS LN, LOUISVILLE, KY 40220-1523
(502) 459-8900
(502) 459-5026
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
314000000X
Skilled Nursing Facility
Primary
100201
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1290014
KY
05
7100049810
KY
Enumeration date
06/04/2006
Last updated
03/01/2013
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