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Alicia Ketchum, LPN
Home Health Agency in Painted Post, New York
NPI 1750638433

Alicia Ketchum is a Home Health Agency based in Painted Post, NY. Alicia Ketchum practices in Painted Post, NY and has the professional credentials of LPN. The NPI Number for Alicia Ketchum is 1750638433 and holds a License No. 305453 (New York).

The current practice location address for Alicia Ketchum is 3 New Haven Rd, Painted Post, NY and can be reached out via phone at 607-684-8825.

Location: 3 New Haven Rd, Painted Post, NY, 14870-9326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750638433
Provider Name
Alicia Ketchum
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
3 New Haven Rd, Painted Post, NY, 14870-9326
Phone Number
607-684-8825
Fax Number
Provider Enumeration Date
08/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 New Haven Rd
City
Painted Post
State
New York
Zip
14870-9326
Phone Number
607-684-8825
Fax Number
person
Provider Business Mailing Address Details
Address
3 New Haven Rd
City
Painted Post
State
New York
Zip
14870-9326
Phone Number
607-684-8825
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
305453 (New York)
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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