Organization
KENTUCKY EASTER SEAL SOCIETY INC
Active
Other names
Cardinal Hill Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY GIL GILLIHAN (PRESIDENT CEO)
(859) 254-5701
Entity
Organization
Contact information
Practice address
9810 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299
(502) 584-9781
(502) 589-2409
Mailing address
9810 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299
(502) 584-9781
(502) 589-2409
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
100501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342656
ANTHEM ST
—
01
—
000000342700
ANTHEM PT
—
01
—
000000342793
ANTHEM OT
—
01
—
000000387196
ANTHEM AUDIO
—
01
—
20
FIRST STEPS
—
Enumeration date
01/10/2007
Last updated
08/22/2020
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