Organization · Type 2 NPI

Commonwealth of Kentucky

Intellectual Disabilities Intermediate Care Facility · Louisville, KY

NPI number 1083785125 Active

Practice location

4401-4505 Louise Underwood Way
Louisville, KY 40216

Call (502) 363-6421 Map

Fax (502) 363-2215

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1083785125

Commonwealth of Kentucky's National Provider Identifier is 1083785125, issued on Nov 12, 2006. 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.