Organization
MONROE MEDICAL FOUNDATION INC
Active
Other names
Monroe County Medica Center HHA EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY MCFALL (CHIEF EXECUTIVE OFFICER)
(270) 487-9231
Entity
Organization
Contact information
Practice address
417 CAPP HARLAN ROAD, TOMPKINSVILLE, KY 42167
(270) 487-9231
(270) 487-6369
Mailing address
529 CAPP HARLAN ROAD, TOMPKINSVILLE, KY 42167
(270) 487-9231
(270) 487-5784
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45348232
—
KY
Enumeration date
06/01/2007
Last updated
08/22/2020
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