Russellville Ky Opco LLC
NPI #1346890878 in Russellville, Kentucky
Provider Information
- NPI Number
- 1346890878
- Entity Type
- Organization
- Organization Name
- Russellville Ky Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 17, 2019
- Last Updated
- Oct 9, 2024
Practice Location
- Address
- 107 BOYLES DR
- City
- Russellville
- State
- Kentucky
- ZIP Code
- 42276-8838
- Phone
- (270) 726-9049
Authorized Official
- Name
- MICK VUJANOVIC
- Title
- CEO
- Phone
- (502) 667-8150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
| Skilled Nursing Facility |
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