18D2197648 CLIA NUMBER - BUNGALOWS AT BOWLING GREEN, THE

Laboratory Demographics

CLIA Number: 18D2197648

Facility Name: BUNGALOWS AT BOWLING GREEN, THE

Facility Address:
981 CAMPBELL LANE
BOWLING GREEN, KY
ZIP 42104
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Facility Phone Number: 270 746-9600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1871531327

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 18D2197648
LAB Type Assisted Living Facility
Facility Name BUNGALOWS AT BOWLING GREEN, THE
Street 981 CAMPBELL LANE
City BOWLING GREEN
State KY
ZIP 42104
Phone 270 746-9600
CertificateType 4
CertificateEffectiveDate 10/27/2022
CertificateExpirationDate 10/26/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024