Organization
LEILA COMMUNITY CARE
Active
Other names
Leila Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
FARDUWSA HASSAN APRN (NURSE PRACTITIONER)
(404) 943-0150
Entity
Organization
Contact information
Practice address
2940 HEBRON PARK DR STE 101, HEBRON, KY 41048-9535
(859) 534-0914
(859) 534-0914
Mailing address
2940 HEBRON PARK DR STE 101, HEBRON, KY 41048-9535
(404) 934-0150
(859) 534-0914
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H12-235-682
—
KY
Enumeration date
03/22/2022
Last updated
10/11/2024
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