Organization
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Active
Other names
Our Lady of Peace PRTF - Malcolm House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD FARR (CHIEF FINANCIAL OFFICER)
(502) 540-3888
Entity
Organization
Contact information
Practice address
4418 MALCOLM AVE., LOUISVILLE, KY 40215
(502) 363-7918
(502) 363-7915
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 587-4099
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/04/2008
Last updated
08/28/2012
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