Organization
REDBANKS COLONIAL TERRACE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS PAGE (EXECUTIVE DIRECTOR)
(270) 826-6436
Entity
Organization
Contact information
Practice address
142 ROGER POWELL RD, SEBREE, KY 42455-2115
(270) 835-2533
Mailing address
142 ROGER POWELL RD, SEBREE, KY 42455-2115
(270) 835-2533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100440
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100197090
—
KY
Enumeration date
07/26/2011
Last updated
05/18/2012
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