Organization
KINGS TRANSITIONAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE D SANDERS (CREDENTIALING ADMIN)
(502) 365-3394
Entity
Organization
Contact information
Practice address
652 S 26TH ST, LOUISVILLE, KY 40211-1065
(502) 851-3532
Mailing address
652 S 26TH ST, LOUISVILLE, KY 40211-1065
(502) 851-3532
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
06/10/2025
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