Organization
N & R OF PIMLICO, LLC
Active
Other names
Pimlico Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. VINSON JR. (CFO)
(502) 254-9525
Entity
Organization
Contact information
Practice address
3576 PIMLICO PKWY, LEXINGTON, KY 40517-3700
(859) 272-0608
(859) 272-1273
Mailing address
329 TOWNEPARK CIR, SUITE 100, LOUISVILLE, KY 40243-2348
(502) 254-9525
(502) 254-9919
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504437
—
KY
01
—
244321
KY TAX ID NUMBER
KY
01
—
7392681
KY UNEMPLOYMENT INSURANCE
KY
Enumeration date
10/02/2006
Last updated
05/11/2010
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