Organization
APPALACHIAN HOLDINGS COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISA K BOOTH (OWNER)
(606) 362-3763
Entity
Organization
Contact information
Practice address
519 BOOTH RD, PINE RIDGE, KY 41360-8805
(606) 668-7497
Mailing address
519 BOOTH RD, PINE RIDGE, KY 41360-8805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2049529
KY
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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