Organization
MERCY SACRED HEART, INC.
Active
Other names
Sacred Heart Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT LEE CPA (CFO)
(502) 357-5534
Entity
Organization
Contact information
Practice address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(502) 895-9425
(502) 894-9619
Mailing address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(502) 895-9425
(502) 894-9619
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100248
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12504452
—
KY
05
—
43012566
—
KY
Enumeration date
09/29/2005
Last updated
09/06/2023
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