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Organization

SIMPLICITY HEALTH NURSING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELINE SANDERS (CREDENTIALING ADMINISTRATOR)
(502) 630-2036
Entity
Organization

Contact information

Practice address
104 DAVENTRY LN STE 2, LOUISVILLE, KY 40223-2883
(502) 445-7957
(502) 632-1432
Mailing address
104 DAVENTRY LN STE 2, LOUISVILLE, KY 40223-2883
(502) 445-7957
(502) 632-1432

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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