| |
1616 Highway 121 North, Suite C, Murray, KY 42071-0016 | |
(270) 753-1434 | |
(270) 759-9166 |
Full Name | |
---|---|
Type | Facility |
Speciality | Home Health |
Location | 1616 Highway 121 North, Murray, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811979495 | NPI | - | NPPES |
34000174 | Medicaid | KY | |
45002359 | Medicaid | KY | |
42000109 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 150120 (Kentucky) | Secondary |
251E00000X | Home Health | 150120 (Kentucky) | Primary |
374U00000X | Home Health Aide | 150120 (Kentucky) | Secondary |
Mailing Address | Practice Location Address |
---|---|
14841 Dallas Pkwy Ste 625, Dallas, TX 75254-7641 Ph: (214) 445-3750 | 1616 Highway 121 North, Suite C, Murray, KY 42071-0016 Ph: (270) 753-1434 |