Organization
ELDERCLUB ADC ELDERSERVE INC.
Active
Organization
ELDERCLUB ADC ELDERSERVE INC.
Active
Other names
ElderClub ADC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD D JONES (DIRECTOR OF THE ADC)
(502) 776-3066
Entity
Organization
Contact information
Practice address
631 S 28TH ST, LOUISVILLE, KY 40211-1369
(502) 776-3066
Mailing address
631 S 28TH ST, LOUISVILLE, KY 40211-1369
(502) 776-3066
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750118
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43000215
—
KY
Enumeration date
01/24/2007
Last updated
08/22/2020
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