Lp Ridgely Llc

NPI 1255522298 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1255522298
Enumeration Date 08/06/2007
Last Updated 10/19/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN JOHN
Position CFO
Phone (731) 264-5555
Fax (731) 264-5547
Practice Location
117 MAIN ST
RIDGELY TN, 38080, US
Phone (731) 264-5555
Fax (731) 264-5547
Business Location
12201 BLUEGRASS PARKWAY
LOUISVILLE KY, 40299-2361, US
Phone (502) 568-7800
Fax (502) 568-7150
Toxanomy
Taxonomy Code 314000000X
License State Tennessee
License Number 152
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According to our database, Lp Ridgely Llc NPI is 1255522298, taxonomy code is 314000000X and license number is 152, license state is located at Tennessee. Lp Ridgely Llc physically located at 117 Main St, Ridgely TN, 38080. NPI Number 1033115704 has the healthcare provider type.

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1255522298 NPI number is provided on an as is basis without warranty of any kind. 1255522298 is maintained by the National Plan & Provider Enumeration System. The contents of Lp Ridgely Llc are for informational purposes only.