Healthcare Provider Details

I. General information

NPI: 1184814931
Provider Name (Legal Business Name): APPALACHIAN REGIONAL HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 LB&T WAY
LOGAN WV
25601-3485
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: 304-752-2535
  • Fax: 304-752-2707
Mailing address:
  • Phone: 606-487-6151
  • Fax: 606-439-0375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

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