Five Star Brookside Llc

NPI 1811942881 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1811942881
Enumeration Date 05/24/2006
Last Updated 04/22/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE J. BRUCE
Position PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone (502) 245-3048
Fax (502) 244-6327
Practice Location
200 BROOKSIDE DR
LOUISVILLE KY, 40243-1277, US
Phone (502) 245-3048
Fax (502) 244-6327
Business Location
200 BROOKSIDE DRIVE
LOUISVILLE KY, 40243, US
Phone (502) 245-3048
Fax (502) 244-6327
Toxanomy
Taxonomy Code 314000000X
License State Kentucky
License Number 100551
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According to our database, Five Star Brookside Llc NPI is 1811942881, taxonomy code is 314000000X and license number is 100551, license state is located at Kentucky. Five Star Brookside Llc physically located at 200 Brookside Dr, Louisville KY, 40243-1277. NPI Number 1033115704 has the healthcare provider type.

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1811942881 NPI number is provided on an as is basis without warranty of any kind. 1811942881 is maintained by the National Plan & Provider Enumeration System. The contents of Five Star Brookside Llc are for informational purposes only.