Organization
OUR HOUSE OF FAVOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAYBAH GLAY (OWNER)
(502) 689-2830
Entity
Organization
Contact information
Practice address
1546 BERRY BLVD, LOUISVILLE, KY 40215-1955
(502) 912-2689
Mailing address
135 SHADOW ROCK CT, SHEPHERDSVILLE, KY 40165-4607
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
11/16/2023
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