Organization
NAZARETH HOME, INC.
Active
Other names
Daybreak Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN J WHEATLEY CPA (CFO)
(502) 459-9681
Entity
Organization
Contact information
Practice address
2120 PAYNE ST, LOUISVILLE, KY 40206-2012
(502) 895-9425
(502) 357-5549
Mailing address
2000 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 459-9681
(502) 456-9077
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750092
—
KY
Enumeration date
02/09/2016
Last updated
02/09/2016
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