NPI 1083785125

Commonwealth of Kentucky

Organisation Intellectual Disabilities Intermediate Care Facility Louisville, KY

Practice location

Address: 4401-4505 Louise Underwood Way, Louisville, KY 40216
Phone: (502) 363-6421
Fax: (502) 363-2215

Authorised official

Name: Jennifer Moore
Title: Assistant Director
Phone: (502) 782-6117

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Kentucky →

Registry record

NPI: 1083785125
Entity type: Organization
NPI issued: 12 Nov 2006
Record last updated: 7 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.