Organization
DEBRAS HOUSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (BILLING DIRECTOR)
(502) 630-2036
Entity
Organization
Contact information
Practice address
2923 VIRGINIA AVE, LOUISVILLE, KY 40211-3420
(502) 775-6507
(502) 632-1432
Mailing address
2923 VIRGINIA AVE, LOUISVILLE, KY 40211-3420
(502) 775-6507
(502) 632-1432
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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