Organization
HARBOR HOUSE OF LOUISVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA A SMITH (CEO)
(502) 719-0072
Entity
Organization
Contact information
Practice address
2231 LOWER HUNTERS TRCE, LOUISVILLE, KY 40216-1358
(502) 719-0072
(502) 719-0078
Mailing address
2231 LOWER HUNTERS TRCE, LOUISVILLE, KY 40216-1358
(502) 719-0072
(502) 719-0078
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
058MBB
KY
343900000X
Non-emergency Medical Transport (VAN)
Primary
059MBB
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000225
—
KY
Enumeration date
06/12/2014
Last updated
06/12/2014
Update your record
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