Organization
GUARDIAN COMMUNITY LIVING LOUISVILLE, LLC
Active
Organization
GUARDIAN COMMUNITY LIVING LOUISVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON IRELAND (CHIEF OPERATING OFFICER)
(615) 377-9140
Entity
Organization
Contact information
Practice address
5001 CROWN MANOR PL, SUITE 200, LOUISVILLE, KY 40218-3196
(502) 540-1482
Mailing address
105 WESTPARK DR, SUITE 100, BRENTWOOD, TN 37027-5319
(615) 377-9140
(615) 277-0638
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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