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Organization

CARETENDERS OF NORTHERN KENTUCKY, INC.

Active
Other names
Caretenders
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK TODD LYLES (SR. V.P., ADMINISTRATION)
(502) 891-1044
Entity
Organization

Contact information

Practice address
3037 DIXIE HWY, SUITE 215, EDGEWOOD, KY 41017-4310
(859) 578-0022
(859) 441-6380
Mailing address
9510 ORMSBY STATION RD, SUITE 300, LOUISVILLE, KY 40223-4081
(502) 891-1000
(502) 891-8067

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251E00000X
Home Health Agency
150165
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34007591
KY
05
42007591
KY
Enumeration date
09/15/2006
Last updated
06/27/2008
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