Organization
ROLLINS BEDFORD CORPORATION
Active
Other names
Mills Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD M WEHTJE (VP CFO)
(407) 975-3010
Entity
Organization
Contact information
Practice address
500 BECK LN, MAYFIELD, KY 42066-1950
(270) 247-7890
(270) 251-3689
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
100472
KY
314000000X
Skilled Nursing Facility
Primary
100472
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504098
—
KY
05
—
90003963
—
KY
Enumeration date
04/20/2007
Last updated
02/05/2008
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