Organization
SAFESPACE LOUISVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIER GILES-JINKS (OWNER)
(502) 759-6281
Entity
Organization
Contact information
Practice address
2133 W MARKET ST, LOUISVILLE, KY 40212-1532
(502) 759-6281
Mailing address
2133 W MARKET ST, LOUISVILLE, KY 40212-1532
(502) 759-6281
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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