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Kimberly Tackett
Home Health Agency in Lucasville, Ohio
NPI 1063014025

Kimberly Tackett is a Home Health Agency based in Lucasville, OH. Kimberly Tackett practices in Lucasville, OH. The NPI Number for Kimberly Tackett is 1063014025 and holds a License No. 0000274977 (Ohio).

The current practice location address for Kimberly Tackett is 636 Houston Hollow Candy Run Rd, Lucasville, OH and can be reached out via phone at 740-961-5702.

Location: 636 Houston Hollow Candy Run Rd, Lucasville, OH, 45648-8423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063014025
Provider Name
Kimberly Tackett
Credential
Provider Entity Type
Individual
Gender
Female
Address
636 Houston Hollow Candy Run Rd, Lucasville, OH, 45648-8423
Phone Number
740-961-5702
Fax Number
Provider Enumeration Date
11/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
636 Houston Hollow Candy Run Rd
City
Lucasville
State
Ohio
Zip
45648-8423
Phone Number
740-961-5702
Fax Number
person
Provider Business Mailing Address Details
Address
636 Houston Hollow Candy Run Rd
City
Lucasville
State
Ohio
Zip
45648-8423
Phone Number
740-961-5702
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
0000274977 (Ohio)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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