Organization
PERSONAL OPTIONS HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS LEE FORWARD SR. (CEO/FOUNDER)
(502) 396-3545
Entity
Organization
Contact information
Practice address
9311 PONDER LN, LOUISVILLE, KY 40272-3921
(502) 396-3545
Mailing address
9311 PONDER LN, LOUISVILLE, KY 40272-3921
(502) 396-3545
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
500249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500249
PERSONAL SERVICES CERTIFICATION
KY
Enumeration date
11/07/2016
Last updated
11/07/2016
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