| Organization Name: | HEARTLAND REHABILITATION SERVICES OF KENTUCKY, LLC |
| NPI Number: | 1891748562 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY A. LAZARUS (VICE PRESIDENT-REIMBURSEMENT) |
| Mailing Address: | 1485 S Dixie St Horse Cave |
| State: | KY US |
| Postal Code: | 427491457 |
| Phone Number: | 2707864551 |
| Fax Number: | 2707864551 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 04/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 100841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |