Organization
ROLLINS BEDFORD CORPORATION
Active
Other names
Russellville Health Care Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD M WEHTJE (VP CFO)
(407) 975-3010
Entity
Organization
Contact information
Practice address
683 E 3RD ST, RUSSELLVILLE, KY 42276-1872
(270) 726-9049
(270) 726-8706
Mailing address
602 COURTLAND ST, SUITE 200, ORLANDO, FL 32804-1360
(407) 975-3000
(407) 975-3090
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100299
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12503736
—
KY
05
—
90003948
—
KY
Enumeration date
04/20/2007
Last updated
04/04/2008
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