Organization
GREEN HORSESHOE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY NEAL (OWNER)
(502) 287-2763
Entity
Organization
Contact information
Practice address
2145 W HILL ST, LOUISVILLE, KY 40210-1923
(502) 287-2763
Mailing address
2145 W HILL ST, LOUISVILLE, KY 40210-1923
(502) 287-2763
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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