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NPI 1518905215

NPI 1518905215 : PARKVIEW HEALTHCARE LLC : PIKEVILLE, KY

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General NPI Number Information
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    NPI Number           |    1518905215
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARKVIEW HEALTHCARE LLC 
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Dates
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    Enumeration Date     |    06/03/2006
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    Last Update Date     |    11/27/2023
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Provider Practice Location Address
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    Address Line         |    200 NURSING HOME LN 
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    City                 |    PIKEVILLE
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    State                |    KY
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    Zip                  |    41501-6896
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    Country              |    US
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    Telephone            |    606-639-4840
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    Fax                  |    606-639-2936
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Provider Business Mailing Address
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    Address Line         |    200 NURSING HOME LN 
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    City                 |    PIKEVILLE
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    State                |    KY
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    Zip                  |    41501-6896
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    Country              |    US
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    Telephone            |    606-639-4840
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    Fax                  |    606-639-2936
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Authorized Official
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    Title or Position    |    VP
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    Name                 |     KENNETH  USSERY 
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    Credential           |    
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    Telephone            |    407-571-1550
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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       |    100599
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    License Number State |    KY
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