- Enrollment id
- O20080717000057
- Enrollment state
- KY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1558357624
- Multiple npi flag
- N
- Ccn
- 187021
- Associate id
- 0840107835
- Organization name
- APPALACHIAN REGIONAL HEALTHCARE INC
- Incorporation date
- 1963-06-27
- Incorporation state
- KY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1916 CUMBERLAND AVE
- City
- MIDDLESBORO
- State
- KY
- Zip code
- 409651231