Organization
KOALA HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWZA SHEIKH OSMAN (DIRECTOR)
(201) 300-5241
Entity
Organization
Contact information
Practice address
9850 VON ALLMEN CT STE 201, LOUISVILLE, KY 40241-2855
(502) 276-0400
Mailing address
9850 VON ALLMEN CT STE 201, LOUISVILLE, KY 40241-2855
(502) 276-0400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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