Organization
CJL GROUP, LLC
Active
Other names
Heartsong East Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM W JOHNSON (MEMBER)
(502) 935-3300
Entity
Organization
Contact information
Practice address
10720 PLANTSIDE DR, LOUISVILLE, KY 40299-3894
(502) 935-3300
Mailing address
10720 PLANTSIDE DR, LOUISVILLE, KY 40299-3894
(502) 935-3300
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
750211
ADULT DAY HEALTH CARE NURSING SERVICES LICENSE
KY
Enumeration date
12/14/2020
Last updated
12/14/2020
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