MEDICARE: NEW MONROE HEALTH & REHABILITATION CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	100337	KY

General Provider Information

NPI Number	:	1831188655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW MONROE HEALTH & REHABILITATION CENTER, LLC

Provider Business Mailing Address
First Line	:	706 N MAGNOLIA ST
Second Line	:
City	:	TOMPKINSVILLE
State	:	KY
Zip	:	42167-1112
Country	:	US
Telephone Number	:	270-487-6135
Fax Number	:	270-487-8604

Provider Business Practice Location Address
First Line	:	706 N MAGNOLIA ST
Second Line	:
City	:	TOMPKINSVILLE
State	:	KY
Zip	:	42167-1112
Country	:	US
Telephone Number	:	270-487-6135
Fax Number	:	270-487-8604

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. TAMMY PULLEY
Credential	:
Telephone Number	:	502-753-6000

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	09/19/2014

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