Organization
WELLS HEALTH CARE, INC.
Active
Other names
Countryside Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LYNN SKAGGS (CFO)
(270) 926-9355
Entity
Organization
Contact information
Practice address
47 MARGO AVE, BARDWELL, KY 42023-9005
(270) 628-5424
(270) 628-0311
Mailing address
725 HARVARD DR, OWENSBORO, KY 42301-6185
(270) 926-9355
(270) 684-6283
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100663
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12502639
—
KY
Enumeration date
07/11/2005
Last updated
08/22/2020
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