Organization
MARY BRECKENRIDGE HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLA DEAN MORRIS REGISTERED NURSE (DIRECTOR OF HOME HEALTH)
(606) 672-2355
Entity
Organization
Contact information
Practice address
166 KATE IRELAND DRIVE, HYDEN, KY 41749
(606) 672-2355
Mailing address
166 KATE IRELAND DRIVE, HYDEN, KY 41749
(606) 672-2355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34000273
—
KY
05
—
42000166
—
KY
Enumeration date
05/27/2006
Last updated
08/22/2020
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