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Organization

GREEN RIVER DISTRICT HEALTH DEPT

Active
Other names
Green River District Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH FILLMAN MS, RD, LD, CDE (PUBLIC HEALTH DIRECTOR)
(270) 686-7747
Entity
Organization

Contact information

Practice address
1600 BRECKENRIDGE ST, OWENSBORO, KY 42303-1055
(270) 686-8123
(270) 683-1119
Mailing address
PO BOX 309, OWENSBORO, KY 42302-0309
(270) 686-8123
(270) 683-1119

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150007
KY
252Y00000X
Early Intervention Provider Agency
150007
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3400251900
KY
Enumeration date
10/03/2005
Last updated
12/16/2024
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