Organization
FULTON HOME CARE SERVICES LLC
Active
Other names
Regional Home Care, Purchase Parkway
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TODD LYLES (SR VICE PRESIDENT)
(502) 891-1044
Entity
Organization
Contact information
Practice address
17 CONSTRUCTION RD, STE F, MAYFIELD, KY 42066-6754
(270) 247-3155
(270) 247-0803
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1187
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
150122
KY
251J00000X
Nursing Care Agency
150122
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34003384
—
KY
05
—
42002386
—
KY
Enumeration date
05/24/2005
Last updated
01/07/2017
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