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Organization

POM - PEACE OF MIND, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENA WATSON NUAZEE (CO-OWNER/EXECUTIVE DIRECTOR)
(502) 200-4357
Entity
Organization

Contact information

Practice address
4113 BARDSTOWN ROAD, SUITE 108, LOUISVILLE, KY 40218-3292
(502) 200-4357
Mailing address
4113 BARDSTOWN ROAD, SUITE 108, LOUISVILLE, KY 40218-3292
(502) 200-4357

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
05/24/2021
Last updated
05/24/2021
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