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Organization

RBRC, INC.

Active
Other names
Rivers Bend Retirement Community
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID T. BEAVEN (CFO)
(270) 822-4218
Entity
Organization

Contact information

Practice address
300 BEECH ST, KUTTAWA, KY 42055-6214
(270) 388-2868
(270) 388-2945
Mailing address
PO BOX 127, UNIONTOWN, KY 42461-0127
(270) 822-4218
(270) 822-4210

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
20010207201
KY
311Z00000X
Custodial Care Facility
750050
KY
314000000X
Skilled Nursing Facility
Primary
100686
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
100686
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1233760001
PART B SUPPLIER NUMBER
KY
05
12503652
KY
05
43020726
KY
Enumeration date
02/20/2006
Last updated
08/14/2008
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