Organization
BRANDENBURG OPCO LLC
Active
Other names
Brandenburg Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(270) 422-2148
Entity
Organization
Contact information
Practice address
814 OLD EKRON RD, BRANDENBURG, KY 40108-1149
(270) 422-2148
(270) 422-4791
Mailing address
814 OLD EKRON RD, BRANDENBURG, KY 40108-1149
(270) 422-2148
(270) 422-4791
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100334
LICENSE
KY
05
—
7100578260
—
KY
Enumeration date
10/02/2018
Last updated
09/01/2022
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