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Organization
MERCY SACRED HEART, INC.
Active
Organization
MERCY SACRED HEART, INC.
Active
Other names
Sacred Heart Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT LEE CPA (CFO)
(502) 357-5534
Entity
Organization
Contact information
Practice address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(502) 895-9425
(502) 894-9619
Mailing address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(502) 895-9425
(502) 894-9619
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100248
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504452
—
KY
05
—
43012566
—
KY
Enumeration date
09/29/2005
Last updated
09/06/2023
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