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
Update your record
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