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Organization

NINETY SEVENTEEN INC

Active
Other names
Homewatch CareGivers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE KOCHERSPERGER (PRESIDENT)
(502) 244-1212
Entity
Organization

Contact information

Practice address
13117 EASTPOINT PARK BLVD, SUITE G, LOUISVILLE, KY 40223-4193
(502) 244-1212
(502) 244-1256
Mailing address
13117 EASTPOINT PARK BLVD, SUITE G, LOUISVILLE, KY 40223-4193
(502) 244-1212
(502) 244-1256

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
500173
KY

Other

Enumeration date
02/13/2015
Last updated
02/13/2015
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