Organization
LEILA COMMUNITY CARE
Active
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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