Organization
FOX ACCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIRE NSHIMIRIMANA (MANAGER)
(502) 819-8471
Entity
Organization
Contact information
Practice address
5817 BANNON CROSSINGS DR, LOUISVILLE, KY 40228-1190
(502) 819-8471
Mailing address
5817 BANNON CROSSINGS DR, LOUISVILLE, KY 40228-1190
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500348
PERSONAL SERVICES AGENCY
—
Enumeration date
08/13/2020
Last updated
08/13/2020
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