Organization
DREAMS WITH WINGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER C FROMMEYER (EXECUTIVE DIRECTOR)
(502) 459-4647
Entity
Organization
Contact information
Practice address
2106 BARDSTOWN RD, LOUISVILLE, KY 40205-1916
(502) 459-4647
(502) 456-5705
Mailing address
1579 BARDSTOWN RD, LOUISVILLE, KY 40205-1150
(502) 459-4647
(502) 456-5705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
KY
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000068
—
KY
05
—
7100350130
—
KY
05
—
7100351020
—
KY
05
—
7100352090
—
KY
Enumeration date
05/15/2007
Last updated
05/09/2022
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