Organization
ANGELIC CARE ADHC, LLC
Active
Other names
AC ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
SAJA JALEEL (DIRECTOR)
(502) 298-2514
Entity
Organization
Contact information
Practice address
10806 DIXIE HWY, LOUISVILLE, KY 40272-4304
(502) 298-2514
Mailing address
9107 3RD STREET RD, LOUISVILLE, KY 40272-2508
(502) 298-2514
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
08/05/2024
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