Healthcare Provider Details

I. General information

NPI: 1912991803
Provider Name (Legal Business Name): APPALACHIAN REGIONAL HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 BLACK GOLD BLVD STE 105
HAZARD KY
41701-2620
US

IV. Provider business mailing address

ARH HOME SERVICES 306 MORTON BLVD., SUITE A
HAZARD KY
41701-9418
US

V. Phone/Fax

Practice location:
  • Phone: 606-439-6757
  • Fax: 606-487-7438
Mailing address:
  • Phone: 606-487-6157
  • Fax: 606-439-0375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. HOLLIE HARRIS
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 859-226-2511