Organization
MASIRE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARIS KEVONA SHANNON (DIRECTOR)
(502) 619-0796
Entity
Organization
Contact information
Practice address
1450 CYPRESS ST, LOUISVILLE, KY 40210-1966
(502) 619-0796
Mailing address
1450 CYPRESS ST, LOUISVILLE, KY 40210-1966
(502) 619-0796
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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