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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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