| Twin Lakes Home Health Agency, Llc | |
|
810 Wallace Ave Leitchfield KY 42754-1449 | |
| (270) 230-0272 | |
| (270) 230-0282 |
| Full Name | Twin Lakes Home Health Agency, Llc |
|---|---|
| Speciality | Home Health |
| Location | 810 Wallace Ave, Leitchfield, Kentucky |
| Authorized Official Name and Position | Donald D. Stelly (PRESIDENT) |
| Authorized Official Contact | 3372331307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Lakes Home Health Agency, Llc Po Box 51266 Lafayette LA 70505-1266 Ph: (337) 233-1307 | Twin Lakes Home Health Agency, Llc 810 Wallace Ave Leitchfield KY 42754-1449 Ph: (270) 230-0272 |
| NPI Number | 1902130446 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 05/25/2016 |
| Medicare PECOS PAC ID | 1254460702 |
|---|---|
| Medicare Enrollment ID | O20100521000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902130446 | NPI | - | NPPES |
| 7100139160 | Medicaid | KY | |
| 7100139140 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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