NPI 1689414294

One Senior Care Kentucky, LLC

Organisation PACE Provider Organization Pikeville, KY

Practice location

Address: 419 Town Mountain Rd, Pikeville, KY 41501-1631
Phone: (606) 727-2690
Mailing address: 100 State St STE 200, Erie, PA 16507-1454

Authorised official

Name: Jeffery Phillips
Title: Sole Member
Phone: (814) 456-5433

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

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Registry record

NPI: 1689414294
Entity type: Organization
NPI issued: 30 May 2024
Record last updated: 30 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.