Organization
STANTON HEALTH CENTER LLC
Active
Other names
Stanton Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(606) 663-2846
Entity
Organization
Contact information
Practice address
31 DERICKSON LN, STANTON, KY 40380-2153
(606) 663-2846
(606) 663-8040
Mailing address
31 DERICKSON LN, STANTON, KY 40380-2153
(606) 663-2846
(606) 663-8040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100445
LICENSE
KY
05
—
7100585320
—
KY
Enumeration date
10/02/2018
Last updated
09/01/2022
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