Organization
WHITLEY COUNTY HEALTH DEPARTMENT
Active
Other names
Whitley County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA GAIL TIMPERIO (DIRECTOR OF ADMINISTRATIVE SERVICES)
(606) 549-3380
Entity
Organization
Contact information
Practice address
368 PENNY LN, WILLIAMSBURG, KY 40769-7481
(606) 549-0886
(606) 549-2665
Mailing address
368 PENNY LN, WILLIAMSBURG, KY 40769-7481
(606) 549-0886
(606) 549-2665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150034
KY
251S00000X
Community/Behavioral Health Agency
150034
KY
252Y00000X
Early Intervention Provider Agency
150034
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34011189
—
KY
01
—
42011189
MEDICAID WAIVER
KY
01
—
45345881
EPSDT
KY
Enumeration date
11/30/2005
Last updated
03/29/2017
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