Healthcare Provider Details

I. General information

NPI: 1669426748
Provider Name (Legal Business Name): HAYSWOOD HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 STANLEY REED CT FL 3
MAYSVILLE KY
41056-1105
US

IV. Provider business mailing address

207 STANLEY REED CT FL3
MAYSVILLE KY
41056-1105
US

V. Phone/Fax

Practice location:
  • Phone: 606-564-9481
  • Fax: 606-564-9484
Mailing address:
  • Phone: 606-564-9481
  • Fax: 606-564-9484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number150025
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number150025
License Number StateKY

VIII. Authorized Official

Name: MS. ANNLYN FURNIER PURDON
Title or Position: EXECUTIVE DIRECTOR
Credential: MBA, MACC
Phone: 606-564-9481