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Organization
HOME CARE CLINIC AND SERVICES
Active
Organization
HOME CARE CLINIC AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA K SHEPHERD LPN (PARTNER)
(606) 279-2000
Entity
Organization
Contact information
Practice address
2055 WOOTON RD, WOOTON, KY 41776-8751
(606) 279-2000
(606) 279-5033
Mailing address
PO BOX 1327, HAZARD, KY 41702-1327
(606) 279-2000
(606) 279-5033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2560P
KY
Other
Enumeration date
01/31/2006
Last updated
08/22/2020
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