NPI 1104603836

Mboka Community Services, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Louisville, KY

Practice location

Address: 3514 Ramona Ave, Louisville, KY 40220-2411
Phone: (502) 671-9908

Authorised official

Name: Elizabeth Bass
Title: Co-Owner
Phone: (502) 671-9908

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1104603836
Entity type: Organization
NPI issued: 14 Sep 2023
Record last updated: 14 Sep 2023

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.