Organization
BUENA VIDA ADHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YARIMA ELENA HERNANDEZ PEREZ (PRESIDENT)
(502) 298-1455
Entity
Organization
Contact information
Practice address
4620 PRESTON HWY, LOUISVILLE, KY 40213-2146
(502) 298-1455
Mailing address
8611 FENWICK CREEK PL APT D, LOUISVILLE, KY 40220-5835
(502) 298-1455
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2020
Last updated
02/19/2020
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