Organization
FIVE STAR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ANN DEVINE (OWNER)
(859) 382-1003
Entity
Organization
Contact information
Practice address
702 SHERARD CIR, LEXINGTON, KY 40517-2045
(859) 382-1003
Mailing address
702 SHERARD CIR, CIRCLE, LEXINGTON, KY 40517-2045
(859) 382-1003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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