Organization
OWENSBORO HEALTH INC
Active
Other names
Owensboro Health HCB Waiver
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS RANALLO (VICE PRESIDENT OF FINANCE)
(270) 685-7180
Entity
Organization
Contact information
Practice address
2211 MAYFAIR DR, OWENSBORO, KY 42301-4568
(270) 688-2182
Mailing address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-2000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150112
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42006304
—
KY
Enumeration date
04/29/2008
Last updated
06/22/2021
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