Organization
PERSONAL CARE AGENCY
Active
Organization
PERSONAL CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAVONDA HILL (OWNER)
(502) 416-2988
Entity
Organization
Contact information
Practice address
2305 GRAND AVE, LOUISVILLE, KY 40210-1145
(502) 777-9201
Mailing address
2305 GRAND AVE, LOUISVILLE, KY 40210-1145
(502) 416-2988
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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