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General NPI Number Information
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NPI Number | 1053489930
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Entity Type | Organization
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Legal Business Name | OWSLEY COUNTY HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 20 COUNTY BARN RD
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City | BOONEVILLE
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State | KY
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Zip | 41314-6500
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Country | US
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Telephone | 606-593-6302
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Fax | 606-593-6078
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Provider Business Mailing Address
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Address Line | 20 COUNTY BARN RD P O BOX 250
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City | BOONEVILLE
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State | KY
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Zip | 41314-0250
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Country | US
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Telephone | 606-593-6302
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Fax | 606-593-6078
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. WHITTNEY YOUNTS
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Credential |
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Telephone | 606-593-6302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100526
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License Number State | KY
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