Organization
LOUISVILLE KY OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVORA KIRSCHNER (VP OF ADMINISTRATIVE SERVICES)
(502) 451-1401
Entity
Organization
Contact information
Practice address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 451-1401
Mailing address
980 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632-3301
(201) 290-8081
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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