Organization
ST. MARY'S CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA BEVELACQUA (EXECUTIVE DIRECTOR)
(502) 254-7298
Entity
Organization
Contact information
Practice address
11700 MAIN ST, LOUISVILLE, KY 40243-1426
(502) 254-7298
(502) 254-7298
Mailing address
PO BOX 43443, LOUISVILLE, KY 40253-0443
(502) 254-7298
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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