Organization
WESTERN KENTUCKY IN HOME PROVIDERS LLC
Active
Other names
Western Kentucky In Home Providers LLC, Western Kentucky In Home Providers LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEENA D CARRICO NP-C (FAMILY NURSE PRACTITIONER)
(270) 832-4826
Entity
Organization
Contact information
Practice address
1169 CARRICO RD, FANCY FARM, KY 42039
(270) 832-4826
Mailing address
1169 CARRICO RD, FANCY FARM, KY 42039
(270) 832-4826
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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