Organization
YMCA OF GREATER LOUISVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN TARVER (PRESIDENT AND CEO)
(502) 587-9622
Entity
Organization
Contact information
Practice address
2800 FORDHAVEN RD, LOUISVILLE, KY 40214-3960
(502) 933-9622
(502) 933-6309
Mailing address
545 S 2ND ST, LOUISVILLE, KY 40202-1801
(502) 587-9622
(502) 587-4323
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
750124
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43000280
—
KY
05
—
56023898
—
KY
05
—
56025018
—
KY
Enumeration date
01/04/2007
Last updated
06/30/2008
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