# APPALACHIAN HOLDINGS COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568901387
- **Authorized official:** MELISA K BOOTH (OWNER)
- **Authorized official phone:** (606) 362-3763

## Contact information

- **Practice address:** 519 BOOTH RD, PINE RIDGE, KY 41360-8805
- **Practice address phone:** (606) 668-7497
- **Mailing address:** 519 BOOTH RD, PINE RIDGE, KY 41360-8805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 2049529 | KY | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 02/13/2017