# SIMPLICITY HEALTH NURSING HOME

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

## Provider details

- **NPI number:** 1043095003
- **Authorized official:** MRS. JACQUELINE SANDERS (CREDENTIALING ADMINISTRATOR)
- **Authorized official phone:** (502) 630-2036

## Contact information

- **Practice address:** 104 DAVENTRY LN STE 2, LOUISVILLE, KY 40223-2883
- **Practice address phone:** (502) 445-7957
- **Practice address fax:** (502) 632-1432
- **Mailing address:** 104 DAVENTRY LN STE 2, LOUISVILLE, KY 40223-2883
- **Mailing address phone:** (502) 445-7957
- **Mailing address fax:** (502) 632-1432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/29/2023
- **Last updated:** 08/29/2023