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Organization

ON-SITE ENTERPRISES OF OLDHAM,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RITA WADDELL (MANAGER)
(502) 819-1600
Entity
Organization

Contact information

Practice address
7109 APPLE ORCHARD LN, CRESTWOOD, KY 40014-9068
(502) 819-1600
Mailing address
PO BOX 1395, CRESTWOOD, KY 40014-1395
(502) 819-1600

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
M95083756
KY
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
09/10/2017
Last updated
09/10/2017
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