Organization
INTELLECTUAL IMPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY ANN HAWTHORNE RN (OWNER)
(419) 973-7424
Entity
Organization
Contact information
Practice address
7813 BEULAH CHURCH RD UNIT 110, LOUISVILLE, KY 40228-1773
(419) 973-7424
Mailing address
7813 BEULAH CHURCH RD UNIT 110, LOUISVILLE, KY 40228-1773
(419) 973-7424
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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