# INTELLECTUAL IMPRESSIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013555440
- **Authorized official:** TIFFANY ANN HAWTHORNE RN (OWNER)
- **Authorized official phone:** (419) 973-7424

## Contact information

- **Practice address:** 7813 BEULAH CHURCH RD UNIT 110, LOUISVILLE, KY 40228-1773
- **Practice address phone:** (419) 973-7424
- **Mailing address:** 7813 BEULAH CHURCH RD UNIT 110, LOUISVILLE, KY 40228-1773
- **Mailing address phone:** (419) 973-7424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2019
- **Last updated:** 12/17/2019