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Organization

ELIZABETHTOWN OPCO LLC

Active
Other names
Elizabethtown Nursing and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(270) 765-6106
Entity
Organization

Contact information

Practice address
1101 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6106
(270) 737-6690
Mailing address
1101 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6106
(270) 737-6690

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100161
LICENSE
KY
05
7100578240
KY
Enumeration date
10/02/2018
Last updated
09/01/2022
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