Organization
COMMUNITY AND FAMILY EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WERNER BOSCO N/A (OWNER)
(502) 554-8487
Entity
Organization
Contact information
Practice address
11106 DECIMAL DR, LOUISVILLE, KY 40299-2440
(502) 554-8487
(502) 412-1405
Mailing address
11106 DECIMAL DR, LOUISVILLE, KY 40299-2440
(502) 554-8487
(502) 412-1405
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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