Organization
A PLACE TO BELONG HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLITA MARTIN (OWNER)
(270) 319-4117
Entity
Organization
Contact information
Practice address
1132 W CROCUS DR, RADCLIFF, KY 40160-2448
(270) 319-4117
(270) 319-4440
Mailing address
1132 W CROCUS DR, RADCLIFF, KY 40160-2448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100618760
—
KY
Enumeration date
05/02/2019
Last updated
04/30/2020
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