Organization
ETA DAY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE H WALTON (OWNER)
(502) 776-7656
Entity
Organization
Contact information
Practice address
724 SO 44TH STREET, LOUISVILLE, KY 40211
(502) 776-7656
(502) 776-7640
Mailing address
PO BOX 1051, LOUISVILLE, KY 40201-1051
(502) 776-7656
(502) 776-7640
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
750110
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43000082
—
KY
Enumeration date
01/30/2007
Last updated
08/22/2020
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