Organization
SAMARITAN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA GAIL SEXTON I (REGISTERED AGENT)
(859) 619-1095
Entity
Organization
Contact information
Practice address
95 GOODWATER ST, JENKINS, KY 41537-9749
(859) 285-9662
Mailing address
160 MOORE DR, STE. 207, LEXINGTON, KY 40503-2932
(859) 806-0247
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
06/20/2018
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