| NPI | 1598983090 |
|---|---|
| Other Name | EPSDT |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JO HAYS Finance Administrator 270-444-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |