Organization
OH MUHLENBERG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HACKBARTH JR. (TREASURER)
(270) 417-2000
Entity
Organization
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8000
(270) 338-8278
Mailing address
440 HOPKINSVILLE ST, PO BOX 387, GREENVILLE, KY 42345-1124
(270) 338-8000
(270) 338-8278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12501508
—
KY
05
—
7100489270
—
KY
Enumeration date
05/23/2006
Last updated
01/04/2018
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