RBRC, INC.
Custodial Care Facility
Kuttawa, Kentucky
Provider NPI: 1508831033
Organization Information:Organization Name: RBRC, INC.
Practice Location:
300 BEECH ST KUTTAWA, KY 42055 US
Tel: 270-388-2868 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:
300 BEECH ST KUTTAWA, KY 42055 US
Tel: 270-388-2868 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | KY | 100686 |
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | KY | 20010207201 |
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | KY | 750050 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | KY | 100686 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
12503652 | KY | 05 | |
43020726 | KY | 05 | |
PART B SUPPLIER NUMBER | 1233760001 | KY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin