# GRAYSON COUNTY HOSPITAL FOUNDATION INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Twin Lakes Home Health Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114926854
- **Authorized official:** MRS. MONA GAIL FULKERSON RN (DIRECTOR OF HOME HEALTH)
- **Authorized official phone:** (270) 259-9525

## Contact information

- **Practice address:** 910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
- **Practice address phone:** (270) 259-9525
- **Practice address fax:** (270) 259-1670
- **Mailing address:** 910 WALLACE AVE, LEITCHFIELD, KY 42754-1418
- **Mailing address phone:** (270) 259-9525
- **Mailing address fax:** (270) 259-1670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 150102 | KY | Yes |
| 251X00000X | Supports Brokerage Agency | 150102 | KY | — |

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 06/25/2008