NPI 1639021348

Latisha L Long

Practitioner Adult Care Home Facility Louisville, KY

Practice location

Address: 4521 Shelvis Dr, Louisville, KY 40216-3072
Phone: (502) 387-5015

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 252686 (KY)

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Registry record

NPI: 1639021348
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2026
Record last updated: 13 Feb 2026

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.