Organization
IRVINE OPERATING COMPANY LLC
Active
Other names
Irvine Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE KELMAN (MANAGING MEMBER)
(917) 613-1662
Entity
Organization
Contact information
Practice address
411 BERTHA WALLACE DR, IRVINE, KY 40336-9418
(606) 723-5153
(606) 723-7765
Mailing address
411 BERTHA WALLACE DR, IRVINE, KY 40336-9418
(606) 723-5153
(606) 723-7765
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750149
LICENSE
KY
Enumeration date
10/19/2018
Last updated
10/19/2018
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