South Shore Nursing and Rehabilitation LLC
NPI #1609421676 in South Shore, Kentucky
Provider Information
- NPI Number
- 1609421676
- Entity Type
- Organization
- Organization Name
- South Shore Nursing and Rehabilitation LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 7, 2019
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 405 SM ROBERSON DR
- City
- South Shore
- State
- Kentucky
- ZIP Code
- 41175-9678
- Phone
- (606) 932-3127
Authorized Official
- Name
- PAUL PRUITT
- Title
- OFFICER
- Phone
- (317) 288-4029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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