Individual
MS. HEATHER R STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 FOREST GREEN BLVD STE 112, LOUISVILLE, KY 40223-5167
(502) 797-0430
Mailing address
10200 FOREST GREEN BLVD STE 112, LOUISVILLE, KY 40223-5167
(502) 797-0430
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
KY
Other
Enumeration date
04/17/2020
Last updated
10/15/2020
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