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Organization

HOMELYFE PERSONAL CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQUOLYN RENEE MOORE (DIRECTOR)
(502) 463-3444
Entity
Organization

Contact information

Practice address
207 TWIN EAGLES PKWY, MOUNT WASHINGTON, KY 40047-6253
(502) 463-3444
Mailing address
PO BOX 382, MOUNT WASHINGTON, KY 40047-0382
(502) 463-3444

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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