Organization
KEY WEST PD, LLC
Active
Other names
Island Private Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK T. LYLES (SR. VP ADMINISTRATION)
(502) 891-1044
Entity
Organization
Contact information
Practice address
22978 OVERSEAS HWY, CUDJOE KEY, FL 33042-4254
(305) 298-4466
(305) 289-4433
Mailing address
9510 ORMSBY STATION RD STE 300, LOUISVILLE, KY 40223-5016
(502) 891-1000
(502) 891-1427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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