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General NPI Number Information
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NPI Number | 1457340135
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Entity Type | Organization
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Legal Business Name | NEW COLONIAL HEALTH & REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 708 BARTLEY AVE
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City | BARDSTOWN
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State | KY
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Zip | 40004-1240
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Country | US
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Telephone | 502-348-9260
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Fax | 502-348-7485
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Provider Business Mailing Address
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Address Line | 708 BARTLEY AVE
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City | BARDSTOWN
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State | KY
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Zip | 40004-1240
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Country | US
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Telephone | 502-348-9260
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Fax | 502-348-7485
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LISA ROMANS
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Credential |
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Telephone | 502-348-9260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100347
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License Number State | KY
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