Organization
COMMUNITY EMPLOYMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A WHALEY MS (EXECUTIVE DIRECTOR)
(502) 451-5601
Entity
Organization
Contact information
Practice address
1974 DOUGLASS BLVD, LOUISVILLE, KY 40205-1826
(502) 451-5601
(502) 451-8518
Mailing address
1974 DOUGLASS BLVD, LOUISVILLE, KY 40205-1826
(502) 451-5601
(502) 451-8518
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
10/26/2011
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