Organization
BREATHITT COUNTY HEALTH DEPARTMENT
Active
Other names
Breathitt County Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MILLER (DIRECTOR)
(606) 666-7755
Entity
Organization
Contact information
Practice address
955 HIGHWAY 30 WEST, JACKSON, KY 41339-0730
(606) 666-8052
(606) 666-4601
Mailing address
PO BOX 730, JACKSON, KY 41339-0730
(606) 666-8052
(606) 666-4601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
150004
KY
251E00000X
Home Health Agency
Primary
150004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34001131
—
KY
01
—
42000075
WAIVER
KY
Enumeration date
11/20/2006
Last updated
08/15/2024
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