Individual provider · Type 1 NPI
Shaunquette Mitchell
Adult Care Home Facility · Louisville, KY
NPI number
1811623762
Active
Practice location
2541 W Main St
Louisville, KY 40212-1530
Mailing address
2014 Saint Louis Ave
Louisville, KY 40210-1620
Other practice locations
- 2014 Saint Louis Ave, Louisville, KY 40210-1620 · (859) 444-2553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1811623762
Shaunquette Mitchell's National Provider Identifier is 1811623762, issued on Jul 25, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Louisville, KY. The record was last updated on Jul 25, 2022.