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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