Organization
WILLIAMSBURG NURSING HOME, INC.
Active
Parent organization
FIRST CORBIN LONG TERM CARE, INC.
Other names
Williamsburg Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST CORBIN LONG TERM CARE, INC.
Authorized official
MR. TERRY EMANUEL FORCHT (CHAIRMAN)
(606) 528-9600
Entity
Organization
Contact information
Practice address
287 N 11TH ST, WILLIAMSBURG, KY 40769-1759
(606) 549-4321
(606) 549-4324
Mailing address
PO BOX 719, WILLIAMSBURG, KY 40769-0719
(606) 549-4321
(606) 549-4324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100488
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054731
ANTHEM BCBS
KY
05
—
12500344
—
KY
Enumeration date
08/31/2006
Last updated
05/07/2008
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