Organization
WESTLAKE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX A TUNGATE (CEO)
(270) 384-4753
Entity
Organization
Contact information
Practice address
801 WESTLAKE DR, COLUMBIA, KY 42728-1162
(270) 384-4753
Mailing address
801 WESTLAKE DR, COLUMBIA, KY 42728-1162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400301200
—
KY
Enumeration date
03/28/2008
Last updated
03/28/2008
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