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Organization
INNOVATIONS THERAPEUTIC SERVICES OF KENTUCKY, LLC
Active
Organization
INNOVATIONS THERAPEUTIC SERVICES OF KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA B SCHULTZ COTA/L (OWNER & CEO)
(502) 235-0604
Entity
Organization
Contact information
Practice address
2112 MEADOWS EDGE LN, LOUISVILLE, KY 40245-4734
(502) 235-0604
Mailing address
2112 MEADOWS EDGE LN, LOUISVILLE, KY 40245-4734
(502) 235-0604
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
09/05/2023
Last updated
03/19/2024
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