Organization
GUARDIACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD PALMORE BS (DIRECTOR FINANCE & HR)
(502) 585-9949
Entity
Organization
Contact information
Practice address
215 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2219
(502) 585-9949
(502) 585-9954
Mailing address
215 W BRECKINRIDGE ST, LOUISVILLE, KY 40203-2219
(502) 585-9949
(502) 585-9954
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
261QA0600X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43005560
—
KY
Enumeration date
01/25/2007
Last updated
08/22/2020
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