Organization · Type 2 NPI

Commonwealth of Kentucky

Intellectual Disabilities Intermediate Care Facility · Louisville, KY

NPI number 1043298979 Active

Practice location

5512 Del Maria Way
Louisville, KY 40291-1810

Call (502) 361-2301 Map

Fax (502) 363-6114

Mailing address

5512 Delmaria Way
Louisville, KY 40291-1810

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X100694 (KY)

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

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About NPI 1043298979

Commonwealth of Kentucky's National Provider Identifier is 1043298979, 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.