Organization
DEANNAS ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEENA L IVORY (EXECUTIVE DIRECTOR)
(502) 445-2808
Entity
Organization
Contact information
Practice address
6503 DIXIE HWY, LOUISVILLE, KY 40258-3907
(502) 445-2808
Mailing address
6503 DIXIE HWY, LOUISVILLE, KY 40258-3907
(502) 445-2808
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/06/2021
Last updated
03/24/2022
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