Organization
BEREA HEALTHCARE, LLC
Active
Other names
Berea Acquisition, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENT PHILIPSON (MANAGING MEMBER)
(859) 623-0898
Entity
Organization
Contact information
Practice address
601 RICHMOND RD N, BEREA, KY 40403-8788
(859) 623-0898
Mailing address
300 PROVIDER CT, RICHMOND, KY 40475-8488
(859) 623-0898
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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