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Organization

TRI-GENERATIONS LLC

Active
Parent organization
TRI-GENERATIONS LLC
Other names
LOUISVILLE OFFICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI-GENERATIONS LLC
Authorized official
MISS KATHERINE M DAVIDSON (EXECUTIVE DIRECTOR)
(502) 253-6825
Entity
Organization

Contact information

Practice address
11800 BRINLEY AVE, SUITE 101, LOUISVILLE, KY 40243-3007
(502) 253-6825
(502) 253-6828
Mailing address
11800 BRINLEY AVE, SUITE 101, LOUISVILLE, KY 40243-3007
(502) 253-6825
(502) 253-6828

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100148560
KY
Enumeration date
04/25/2007
Last updated
02/24/2011
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