Organization
ALTERNATIVE ADULT DAY HEALTH CARE CENTER
Active
Organization
ALTERNATIVE ADULT DAY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEAH JANE FERGUSON ADMINISTRATOR (ADMINISTRATOR)
(502) 955-1750
Entity
Organization
Contact information
Practice address
147 WILMA AVE, LOUISVILLE, KY 40229-6623
(502) 955-1750
(502) 955-9010
Mailing address
147 WILMA AVE, LOUISVILLE, KY 40229-6623
(502) 955-1750
(502) 955-9010
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
7100170430
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43000009
—
KY
Enumeration date
02/07/2007
Last updated
02/17/2014
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