Organization
PADUCAH OPERATING COMPANY LLC
Active
Other names
River Haven Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(270) 442-6168
Entity
Organization
Contact information
Practice address
867 MCGUIRE AVE, PADUCAH, KY 42001-4036
(270) 442-6168
(270) 443-6211
Mailing address
867 MCGUIRE AVE, PADUCAH, KY 42001-4036
(270) 442-6168
(270) 443-6211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100306
LICENSE
KY
05
—
7100577720
—
KY
Enumeration date
10/02/2018
Last updated
09/01/2022
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