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Organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Active
Organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Active
Parent organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Authorized official
HATTIE WAGNER (PRESIDENT)
(502) 259-9101
Entity
Organization
Contact information
Practice address
106 DIECKS DRIVE, ELIZABETHTOWN, KY 42701
(270) 769-0058
(270) 737-3096
Mailing address
PO BOX 18067, LOUISVILLE, KY 40261-0067
(270) 769-0058
(270) 737-3096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002058
KY
225100000X
Physical Therapist
004490
KY
225X00000X
Occupational Therapist
R2338
KY
225X00000X
Occupational Therapist
R2591
KY
235Z00000X
Speech-Language Pathologist
2470
KY
261QR0400X
Rehabilitation Clinic/Center
Primary
101012
KY
Other
Enumeration date
07/09/2006
Last updated
11/02/2017
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