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Organization

MODEL HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUPA RAI (OWNER)
(404) 908-3413
Entity
Organization

Contact information

Practice address
7213 RAMBO WAY, LOUISVILLE, KY 40228-3100
(404) 908-3413
Mailing address
7213 RAMBO WAY, LOUISVILLE, KY 40228-3100
(140) 490-8341

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
372500000X
Chore Provider
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
08/04/2021
Last updated
08/04/2021
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