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NPI Code Detail

MEDICARE: N & R OF WINDSOR HILLS LLC

MEDICARE: N & R OF WINDSOR HILLS 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1902395437
Entity Type Code : Organization
Provider Name (Legal Business Name) : N & R OF WINDSOR HILLS LLC
Provider Business Mailing Address
First Line : 329 TOWNEPARK CIR
Second Line :
City : LOUISVILLE
State : KY
Zip : 40243-2348
Country : US
Telephone Number : 502-254-9525
Fax Number : 502-254-9524
Provider Business Practice Location Address
First Line : 2416 N ANN ARBOR AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-1811
Country : US
Telephone Number : 405-942-8566
Fax Number : 405-946-4213
Authorized Official
Title or Position : MEMBER
Name : JAY TRUMBO
Credential :
Telephone Number : 502-254-9525
Provider Enumeration Date : 05/10/2018
Last Update Date : 05/10/2018

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Directions to “N & R OF WINDSOR HILLS LLC ” Practice Location

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