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Organization

LOUISVILLE VAMC

Active
Other names
LOUISVILLE VA CARE SITE
Organization subpart
No

Provider details

NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(615) 355-3451
Mailing address
PO BOX 94508, CLEVELAND, OH 44101
(615) 355-3451

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary

Other

Enumeration date
02/29/2016
Last updated
09/07/2017
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