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Organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Active
Organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Active
Other names
Helmwood Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
HATTIE WAGNER (CEO/PRESIDENT)
(502) 259-9101
Entity
Organization
Contact information
Practice address
108 DIECKS DR, ELIZABETHTOWN, KY 42701-2450
(502) 259-9101
(502) 259-9109
Mailing address
PO BOX 18067, LOUISVILLE, KY 40261-0067
(502) 259-9101
(502) 259-9109
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
101012
KY
314000000X
Skilled Nursing Facility
Primary
100576
KY
314000000X
Skilled Nursing Facility
101012
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100576
SKILLED NURSING FACILITY LICENSE
KY
01
—
101012
OUTPATIENT THERAPY LICENSE
KY
05
—
12500146
—
KY
Enumeration date
09/29/2005
Last updated
12/08/2017
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