Individual
MRS. WENDY LEE BAIRD MAGDALENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 OLD PRESTON HWY S, SHEPHERDSVILLE, KY 40165-6411
(714) 737-3166
Mailing address
290 OLD PRESTON HWY S, SHEPHERDSVILLE, KY 40165-6411
(714) 737-3166
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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