# WESTERN KENTUCKY IN HOME PROVIDERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Kentucky In Home Providers LLC, Western Kentucky In Home Providers LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962005025
- **Authorized official:** MRS. DEENA D CARRICO NP-C (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (270) 832-4826

## Contact information

- **Practice address:** 1169 CARRICO RD, FANCY FARM, KY 42039
- **Practice address phone:** (270) 832-4826
- **Mailing address:** 1169 CARRICO RD, FANCY FARM, KY 42039
- **Mailing address phone:** (270) 832-4826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2020
- **Last updated:** 11/19/2020