NPI 1740802354

Southside Personal Care Home LLC

Organisation Home Health Aide Louisville, KY

Practice location

Address: 5330 S 3rd St STE 200, Louisville, KY 40214-2689
Phone: (502) 533-1492
Fax: (502) 212-9292

Authorised official

Name: Abdirashid Ahmed Kanyare
Title: Manager
Phone: (502) 533-1492

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Kentucky →

Registry record

NPI: 1740802354
Entity type: Organization
NPI issued: 18 May 2020
Record last updated: 7 Aug 2020

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.