Organization Name: | NORTH CENTRAL DISTRICT HOME HEALTH AGENCY |
NPI Number: | 1588647895 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENEE' BLAIR (HEALTH DISTRICT DIRECTOR) |
Mailing Address: | 30 Main St Shelbyville |
State: | KY US |
Postal Code: | 400651020 |
Phone Number: | 5028452761 |
Fax Number: | 5028457998 |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | KY150068 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |