Organization
EDGEMONT HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE HAEFER (SECERTARY TREASURER)
(859) 987-5523
Entity
Organization
Contact information
Practice address
323 WEBSTER AVE, CYNTHIANA, KY 41031-1648
(859) 234-4595
(859) 234-8070
Mailing address
323 WEBSTER AVE, CYNTHIANA, KY 41031-1648
(859) 234-4595
(859) 234-8070
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100166
KY
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100005340
—
KY
Enumeration date
10/27/2005
Last updated
08/26/2019
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