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Organization

HEALTH SERVICES PERSONNEL

Active
Other names
HSP
Organization subpart
No

Provider details

NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization

Contact information

Practice address
233 E MODLIN RD, AHOSKIE, NC 27910-8220
(800) 866-0860
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
NC
251C00000X
Developmentally Disabled Services Day Training Agency
NC
251E00000X
Home Health Agency
NC
251S00000X
Community/Behavioral Health Agency
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300498
NC
05
8300498B
NC
05
8300498G
NC
05
8300498H
NC
05
8300500B
NC
05
8300500H
NC
05
8300520H
NC
05
8300522H
NC
05
8300523H
NC
05
8300526B
NC
05
8300526G
NC
05
8300526H
NC
05
8300528G
NC
05
8300528H
NC
05
8300534H
NC
05
8300646G
NC
05
8300646H
NC
05
8300787H
NC
Enumeration date
09/05/2008
Last updated
09/05/2008
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