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Commonwealth Of Kentucky
Nursing Facility/Intermediate Care Facility in Hazard, Kentucky
NPI 1396962551

Commonwealth Of Kentucky is a Nursing Facility/Intermediate Care Facility based in Hazard, KY. Commonwealth Of Kentucky practices in Hazard, KY. The NPI Number for Commonwealth Of Kentucky is 1396962551 and holds a License No. 100990 (Kentucky).

The current practice location address for Commonwealth Of Kentucky is 200 Veterans Dr, Hazard, KY and can be reached out via phone at 606-345-6196 and via fax at 606-435-6201.

Location: 200 Veterans Dr, Hazard, KY, 41701-9484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396962551
Provider Name
Commonwealth Of Kentucky
Credential
Provider Entity Type
Organization
Address
200 Veterans Dr, Hazard, KY, 41701-9484
Phone Number
606-345-6196
Fax Number
606-435-6201
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100990 01 KY LICENSE
institution
Provider Business Practice Location Address Details
Address
200 Veterans Dr
City
Hazard
State
Kentucky
Zip
41701-9484
Phone Number
606-345-6196
Fax Number
606-435-6201
person
Provider Business Mailing Address Details
Address
200 Veterans Dr
City
Hazard
State
Kentucky
Zip
41701-9484
Phone Number
606-345-6196
Fax Number
606-435-6201
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
100990 (Kentucky)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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