Organization · Type 2 NPI
Mboka Community Services, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Louisville, KY
Practice location
3514 Ramona Ave
Louisville, KY 40220-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
| Respite Care | 385H00000X | 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.
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About NPI 1104603836
Mboka Community Services, LLC's National Provider Identifier is 1104603836, issued on Sep 14, 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 Sep 14, 2023.