Organization · Type 2 NPI

Commonwealth of Kentucky

Intellectual Disabilities Intermediate Care Facility · Louisville, KY

NPI number 1033197967 Active

Practice location

1800 Bluegrass Ave
Louisville, KY 40215-1130

Call (502) 361-2301 Map

Fax (502) 363-6114

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X100211 (KY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

43 other providers at this address

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About NPI 1033197967

Commonwealth of Kentucky's National Provider Identifier is 1033197967, issued on Dec 30, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Louisville, KY. The record was last updated on Aug 7, 2024.