Organization
SILVER ANGELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARRISON (CFO)
(502) 568-7800
Entity
Organization
Contact information
Practice address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7800
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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