Organization
INDEPENDENT INDUSTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE ANN BUNTAIN (PRESIDENT)
(502) 451-4631
Entity
Organization
Contact information
Practice address
4000 MCCOLLUM CT, LOUISVILLE, KY 40218-3108
(520) 451-4631
Mailing address
4000 MCCOLLUM CT, LOUISVILLE, KY 40218-3108
(520) 451-4631
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
254888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000977
—
KY
Enumeration date
05/23/2007
Last updated
08/22/2020
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