Organization
ROBERTSON MANOR LLC
Active
Other names
Robertson County Health Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MORROW (VP OF ADMINISTRATIVE SUPPORT)
(859) 623-0898
Entity
Organization
Contact information
Practice address
RR 2, MOUNT OLIVET, KY 41064-9781
(606) 724-5020
(606) 724-5029
Mailing address
300 PROVIDER CT, SUITE 100, RICHMOND, KY 40475-8488
(859) 623-0898
(859) 623-0843
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504163
—
KY
05
—
90160763
—
KY
Enumeration date
10/17/2005
Last updated
05/05/2008
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