NPI 1629575295
Jeffersontown Opco, LLC
Practice location
- Address
- 3500 Good Samaritan Way, Jeffersontown, KY 40299-6117
- Phone
- (502) 267-7403
- Mailing address
- 2100 Cherokee Ridge Way STE 100, Louisville, KY 40205-1600
Authorised official
- Name
- Mick Vujanovic
- Title
- Ceo
- Phone
- (502) 667-8150
Registered specialties (2)
Skilled Nursing Facility
Primary
Respite Care
Registry record
- NPI
- 1629575295
- Entity type
- Organization
- NPI issued
- 10 Apr 2018
- Record last updated
- 9 Oct 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.