| NPI | 1114926854 |
|---|---|
| Doing Business As | TWIN LAKES HOME HEALTH AGENCY |
| Entity Type | Organization |
| Authorized Contact | MONA GAIL FULKERSON Director Of Home Health 270-259-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KY 150102) |
| Additional Taxonomies | 251X00000X (Licence: KY 150102) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2008-06-25 |