Healthcare Provider Details
I. General information
NPI: 1073166153
Provider Name (Legal Business Name): ARH TUG VALLEY HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2019
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
93 DEWEY ST
PRESTONSBURG KY
41653-7923
US
IV. Provider business mailing address
306 MORTON BLVD STE A
HAZARD KY
41701-9418
US
V. Phone/Fax
- Phone: 606-889-9967
- Fax: 606-886-7633
- Phone: 606-487-6151
- Fax: 606-439-0375
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
HOLLIE
HARRIS
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 859-226-2511