Organization
NORTH CENTRAL DISTRICT HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE' BLAIR R.N. (HEALTH DISTRICT DIRECTOR)
(502) 845-2761
Entity
Organization
Contact information
Practice address
30 MAIN ST, SHELBYVILLE, KY 40065-1020
(502) 845-2761
(502) 845-7998
Mailing address
PO BOX 358, 31 EAST CROSS MAIN STREET, NEW CASTLE, KY 40050-0358
(502) 845-2761
(502) 845-7998
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
KY150068
KY
251E00000X
Home Health Agency
Primary
KY150068
KY
251K00000X
Public Health or Welfare Agency
KY150068
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34002527
—
KY
Enumeration date
11/22/2005
Last updated
10/28/2011
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