Organization
COGNICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONTAL L HARPER LPN (MANAGING OWNER)
(502) 762-7871
Entity
Organization
Contact information
Practice address
632 BALLARD ST, LOUISVILLE, KY 40202-1189
(502) 762-7871
Mailing address
632 BALLARD ST, LOUISVILLE, KY 40202-1189
(502) 762-7871
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2035174
KY
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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