Organization
BEAVER DAM HEALTH CARE MANOR INC
Active
Other names
Beaver Dam Health Care Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RODMAN (ASST SECRETARY)
(407) 975-3011
Entity
Organization
Contact information
Practice address
1595 US HIGHWAY 231 S, BEAVER DAM, KY 42320-9463
(270) 274-9646
(270) 274-9646
Mailing address
602 COURTLAND ST STE 200, ORLANDO, FL 32804-1340
(407) 975-3000
(407) 975-3090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100353
KY
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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