Organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY, INC
Active
Parent organization
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESBYTERIAN HOMES AND SERVICES OF KENTUCKY
Authorized official
HATTIE WAGNER (PRESIDENT / CEO)
(502) 259-9101
Entity
Organization
Contact information
Practice address
2116 BUECHEL BANK RD, LOUISVILLE, KY 40218-3521
(502) 499-9383
Mailing address
PO BOX 18067, LOUISVILLE, KY 40261-0067
(502) 499-9383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004650
KY
225X00000X
Occupational Therapist
R1071
KY
225X00000X
Occupational Therapist
R3513
KY
235Z00000X
Speech-Language Pathologist
2655
KY
261QR0400X
Rehabilitation Clinic/Center
Primary
101046
KY
Other
Enumeration date
04/17/2007
Last updated
11/01/2017
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