Organization
MATTINGLY CENTER, INC
Active
Organization
MATTINGLY CENTER, INC
Active
Other names
Cerebral Palsy School of Louisville, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA Q HENCHEY (EXECUTIVE DIRECTOR)
(502) 451-6200
Entity
Organization
Contact information
Practice address
1520 BAXTER AVE, LOUISVILLE, KY 40205-1009
(502) 451-6200
(502) 451-6861
Mailing address
1520 BAXTER AVE, LOUISVILLE, KY 40205-1009
(502) 451-6200
(502) 451-6861
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
750034
KY
261QA0600X
Adult Day Care Clinic/Center
Primary
750034
KY
261QH0100X
Health Service Clinic/Center
750034
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33300260
—
KY
05
—
43003565
—
KY
05
—
7100060340
—
KY
Enumeration date
08/31/2006
Last updated
02/23/2009
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