Whalio Doctors

NPI 1629575295

Jeffersontown Opco, LLC

Organisation Skilled Nursing Facility Jeffersontown, KY

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
Nursing & Custodial Care Facilities Taxonomy 314000000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

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.