NPI 1871209791
Senior Community Care of Kentucky
Practice location
- Address
- 960 S 4th St, Louisville, KY 40203-3252
- Phone
- (502) 676-7550
- Fax
- (502) 676-7516
- Mailing address
- 7530 Market Place Dr, Eden Prairie, MN 55344-3636
Authorised official
- Name
- Nancy Gavin
- Title
- Assistant Secretary/Assistant Treas
- Phone
- (952) 983-3429
Registered specialties
PACE Provider Organization
Primary
Registry record
- NPI
- 1871209791
- Entity type
- Organization
- NPI issued
- 24 Jan 2023
- Record last updated
- 24 Jan 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.