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General NPI Number Information
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NPI Number | 1669426748
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Entity Type | Organization
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Legal Business Name | HAYSWOOD HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/21/2006
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 1 W MCDONALD PKWY
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City | MAYSVILLE
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State | KY
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Zip | 41056-1164
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Country | US
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Telephone | 606-564-9481
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Fax | 606-564-9484
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Provider Business Mailing Address
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Address Line | 207 STANLEY REED CT FL3
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City | MAYSVILLE
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State | KY
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Zip | 41056-1105
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Country | US
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Telephone | 606-564-9481
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Fax | 606-564-9484
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ANNLYN FURNIER PURDON
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Credential | MBA, MACC
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Telephone | 606-564-9481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 150025
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150025
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License Number State | KY
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