Organization
LOUISA HOME CARE SERVICES LLC
Active
Other names
Three Rivers Home Care WV
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TODD LYLES (SR VICE PRESIDENT)
(502) 891-1044
Entity
Organization
Contact information
Practice address
672 COURT STREET, FORT GAY, WV 25514
(304) 648-5000
(304) 648-3298
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1187
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
WV
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175066000
—
WV
Enumeration date
02/16/2007
Last updated
01/09/2017
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