Organization
RECOVERCARE LLC
Active
Other names
Medastat USA
Organization subpart
No
Provider details
NPI number
Authorized official
MARY S ZAPPONE (PRESIDENT/CEO)
(502) 489-9449
Entity
Organization
Contact information
Practice address
1920 STANLEY GAULT PKY, STE 100, LOUISVILLE, KY 40223-4209
(502) 489-9449
(502) 736-6685
Mailing address
1920 STANLEY GAULT PKY, STE 100, LOUISVILLE, KY 40223-4209
(502) 489-9449
(502) 736-6685
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
W01032
KY
332B00000X
Durable Medical Equipment & Medical Supplies
W02455
KY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90004482
—
KY
Enumeration date
10/03/2005
Last updated
07/09/2014
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