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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
KY

Other Provider Identifiers:

IssuerNumberStateType
12503348KY05
7100002190KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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