Organization
HURSTBOURNE HEALTHCARE LLC
Active
Other names
Hurstbourne Care Centre at Stony Brook
Organization subpart
No
Provider details
NPI number
Authorized official
ROY T. BABER (MANAGER)
(502) 495-6240
Entity
Organization
Contact information
Practice address
2200 STONY BROOK DR, LOUISVILLE, KY 40220-4016
(502) 495-6240
(502) 495-0324
Mailing address
2200 STONY BROOK DR, LOUISVILLE, KY 40220-4016
(502) 495-6240
(502) 495-0324
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100645 NF
KY
314000000X
Skilled Nursing Facility
100645 PCH
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504692
—
KY
Enumeration date
05/31/2006
Last updated
01/22/2016
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