HBR CAMPBELL LANE, LLC
Alzheimer Center
Bowling Green, Kentucky
Provider NPI: 1144331216
Organization Information:Organization Name: HBR CAMPBELL LANE, LLC
Practice Location:
1381 CAMPBELL LN BOWLING GREEN, KY 42104 US
Tel: 270-843-0587 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1381 CAMPBELL LN BOWLING GREEN, KY 42104 US
Tel: 270-843-0587 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | KY |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7100002190 | KY | 05 | |
12503348 | KY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin