Organization
LAUREL HOUSING INC.
Active
Other names
Laurel Heights Home for the Elderly
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHEY YOUNG (ADMINISTRATOR)
(606) 864-4155
Entity
Organization
Contact information
Practice address
208 W 12TH ST, LONDON, KY 40741-1101
(606) 864-4155
Mailing address
PO BOX 1800, LONDON, KY 40743-1800
(606) 864-4155
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
100280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90006560
—
KY
Enumeration date
12/12/2007
Last updated
12/13/2007
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