Organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC.
Active
Other names
Helmwood Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
HATTIE WAGNER (CEO/PRESIDENT)
(502) 259-9101
Entity
Organization
Contact information
Practice address
108 DIECKS DR, ELIZABETHTOWN, KY 42701-2450
(502) 259-9101
(502) 259-9109
Mailing address
PO BOX 18067, LOUISVILLE, KY 40261-0067
(502) 259-9101
(502) 259-9109
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
101012
KY
314000000X
Skilled Nursing Facility
Primary
100576
KY
314000000X
Skilled Nursing Facility
101012
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100576
SKILLED NURSING FACILITY LICENSE
KY
01
—
101012
OUTPATIENT THERAPY LICENSE
KY
05
—
12500146
—
KY
Enumeration date
09/29/2005
Last updated
12/08/2017
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