Organization · Type 2 NPI

Personal Care Agency

Assisted Living Facility (Mental Illness) · Louisville, KY

NPI number 1104510502 Active

Practice location

2305 Grand Ave
Louisville, KY 40210-1145

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed
Non-emergency Medical Transport (VAN) 343900000XNone listed

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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About NPI 1104510502

Personal Care Agency's National Provider Identifier is 1104510502, issued on Jun 7, 2023. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Louisville, KY. The record was last updated on Jun 7, 2023.