Organization
GOOD 2 B HOME ADULT DAY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL PORRAS (PRESIDENT)
(812) 671-6538
Entity
Organization
Contact information
Practice address
1920 STANLEY GAULT PKWY STE 104, LOUISVILLE, KY 40223-4209
(812) 671-6538
Mailing address
1920 STANLEY GAULT PKWY STE 104, LOUISVILLE, KY 40223-4209
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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