Organization
VOANS SENIOR COMMUNITY CARE OF JEFFERSON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GAVIN (ASSISTANT SECRETARY)
(612) 428-7840
Entity
Organization
Contact information
Practice address
12210 TOWN PARK, LOUISVILLE, KY 41042
(952) 941-0305
Mailing address
7485 OFFICE RIDGE CIR, EDEN PRAIRIE, MN 55344-3690
(612) 428-7840
(952) 941-0428
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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