Organization
FIRST CLASS CHILD CARE PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHOEBE ROSIMO WILLIAMSON M.S.-CCC,SLP (CO-DIRECTOR)
(502) 553-0360
Entity
Organization
Contact information
Practice address
4910 SIMPSON DRIVE, LOUISVILLE, KY 40218
(502) 553-0360
Mailing address
PO BOX 18735, LOUISVILLE, KY 40261-0735
(502) 553-0360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1921
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1375
PROVIDER NUMBER
KY
Enumeration date
02/22/2007
Last updated
08/22/2020
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