# PROFESSIONAL HOME HEALTH CARE AGENCY, INC.

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

## Provider details

- **NPI number:** 1912995127
- **Authorized official:** MRS. JOYCE LEWIS (CEO)
- **Authorized official phone:** (606) 877-1135

## Contact information

- **Practice address:** 4934 S LAUREL RD, LONDON, KY 40744-7985
- **Practice address phone:** (606) 864-0724
- **Practice address fax:** (606) 864-5256
- **Mailing address:** 4934 S LAUREL RD, LONDON, KY 40744-7985
- **Mailing address phone:** (606) 864-0724
- **Mailing address fax:** (606) 864-5256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 42620021 | KY | — |
| 251E00000X | Home Health Agency | 150090 | KY | Yes |
| 251J00000X | Nursing Care Agency | — | KY | — |
| 251X00000X | Supports Brokerage Agency | 90012964 | KY | — |
| 252Y00000X | Early Intervention Provider Agency | 45343969 | KY | — |
| 291U00000X | Clinical Medical Laboratory | — | KY | — |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 01/28/2015