Individual provider · Type 1 NPI
Tchope Simugomwa
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Louisville, KY
Practice location
2124 Belmont Rd
Louisville, KY 40218-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1093583965
Tchope Simugomwa's National Provider Identifier is 1093583965, issued on Dec 19, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Louisville, KY. The record was last updated on Dec 19, 2023.