Organization
ADAIR COUNTY HOSPITAL DISTRICT
Active
Other names
Westlake Home Health EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
REX A TUNGATE (CEO)
(270) 384-4753
Entity
Organization
Contact information
Practice address
904-B WESTLAKE DRIVE, COLUMBIA, KY 42728
(270) 384-4753
Mailing address
904-B WESTLAKE DRIVE, COLUMBIA, KY 42728
(270) 384-4753
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4534612900
—
KY
Enumeration date
03/31/2008
Last updated
03/31/2008
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