Organization
LIFE CARE CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE ANN MANN OTR (OCCUPATIONAL THERAPIST)
(812) 945-2341
Entity
Organization
Contact information
Practice address
304 WILMA AVE TRLR 177, LOUISVILLE, KY 40229-6632
(502) 523-4387
Mailing address
304 WILMA AVE TRLR 177, LOUISVILLE, KY 40229-6632
(502) 523-4387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31004255A
IN
Other
Enumeration date
05/20/2007
Last updated
09/15/2021
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