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Organization

GREY SUPPORTIVE LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE GREY LPN (OWNER)
(502) 716-9811
Entity
Organization

Contact information

Practice address
209 KNOLLWOOD CIRCLE, LOUISVILLE, KY 40229
(502) 716-9811
Mailing address
6844 BARDSTOWN RD # 607, LOUISVILLE, KY 40291-3050
(502) 716-9811

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
04/28/2026
Last updated
04/28/2026
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