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Organization

TWIN LAKES HOME HEALTH AGENCY, LLC

Active
Other names
Twin Lakes Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
810 WALLACE AVE, LEITCHFIELD, KY 42754-1449
(270) 230-0272
(270) 230-0282
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
261QR1300X
Rural Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100139140
KY
05
7100139160
KY
Enumeration date
10/01/2009
Last updated
05/25/2016
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