Healthcare Provider Details

I. General information

NPI: 1184048852
Provider Name (Legal Business Name): LP HARRODSBURG, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 LEXINGTON RD
HARRODSBURG KY
40330-1260
US

IV. Provider business mailing address

853 LEXINGTON RD
HARRODSBURG KY
40330-1260
US

V. Phone/Fax

Practice location:
  • Phone: 859-734-7791
  • Fax: 859-734-5679
Mailing address:
  • Phone: 859-734-7791
  • Fax: 859-734-5679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN HARRISON
Title or Position: CFO
Credential:
Phone: 502-568-7800