Organization
ZOOM GROUP
Active
Other names
Zoom Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILSON (QUALITY ASSURANCE MANAGER)
(502) 581-0658
Entity
Organization
Contact information
Practice address
1904 EMBASSY SQUARE BLVD, LOUISVILLE, KY 40299
(502) 581-0658
(502) 581-9520
Mailing address
1904 EMBASSY SQUARE BLVD, LOUISVILLE, KY 40299
(502) 581-0658
(502) 581-9520
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0216571
KY
251E00000X
Home Health Agency
750120
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33300393
—
KY
05
—
43000355
—
KY
Enumeration date
06/13/2006
Last updated
03/10/2017
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