in Louisville - Intermediate Care Facility, Intellectual Disabilities

- NPI 1205045614

is a Intermediate Care Facility, Intellectual Disabilities in Louisville, Kentucky. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for is 1205045614. The last update date is .

's current location address is 9901 Linn Station Rd, Louisville, Kentucky. You can contact this provider via phone number 8008660860. The mailing address for is 9901 Linn Station Rd, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 9901 Linn Station Rd, Louisville, Kentucky
Phone Number 8008660860
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1205045614
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 9901 Linn Station Rd
City Louisville
State Kentucky (KY)
Post Code 402233808
Phone Number 8008660860
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2392790 OH --

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