Organization
SOUTHWEST CENTER FOR THE DEVELOPMENTALLY DISABLED
Active
Other names
Southwest Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA JO SLUCHER RN (EXECUTIVE DIRECTOR)
(502) 935-1848
Entity
Organization
Contact information
Practice address
8009 TERRY RD, LOUISVILLE, KY 40258-2669
(502) 935-1848
(502) 933-7833
Mailing address
8009 TERRY RD, LOUISVILLE, KY 40258-2669
(502) 935-1848
(502) 933-7833
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33001231
—
KY
Enumeration date
04/22/2008
Last updated
10/06/2009
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