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Organization

COMMUNITY HOPE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARRETT BOUSE (EXECUTIVE DIRECTOR)
(606) 791-2916
Entity
Organization

Contact information

Practice address
3140 S LAKE DR STE 4, PRESTONSBURG, KY 41653-1411
(606) 886-8551
Mailing address
3140 S LAKE DR STE 4, PRESTONSBURG, KY 41653-1411
(606) 886-8551
(606) 886-8551

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary
500283
KY

Other

Enumeration date
03/08/2018
Last updated
09/23/2019
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