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Organization

PHELPS KY OPCO LLC

Active
Other names
Good Shepherd Health and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID HERSKOWITZ (CEO)
(212) 444-1991
Entity
Organization

Contact information

Practice address
60 PHILLIPS BRANCH RD, PHELPS, KY 41553-9061
(646) 649-1131
Mailing address
1449 37TH ST STE 605, BROOKLYN, NY 11218-4380

Taxonomy

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

Other

Enumeration date
08/28/2019
Last updated
02/08/2023
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