Organization
PEMBROKE OPERATING COMPANY LLC
Active
Other names
Christian Heights Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(270) 475-4227
Entity
Organization
Contact information
Practice address
124 W NASHVILLE ST, PEMBROKE, KY 42266-9763
(270) 475-4227
(270) 475-4173
Mailing address
124 W NASHVILLE ST, PEMBROKE, KY 42266-9763
(270) 475-4227
(270) 475-4173
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100069
LICENSE
KY
05
—
7100579270
—
KY
Enumeration date
10/02/2018
Last updated
09/01/2022
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