Organization
HERITAGE HOME AND DAY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SMITH (CREDENTIALING MANAGER)
(502) 244-9859
Entity
Organization
Contact information
Practice address
1517 CRUMS LN, LOUISVILLE, KY 40216-3823
(502) 214-3210
(800) 214-6418
Mailing address
4511 BARDSTOWN RD, LOUISVILLE, KY 40218-4001
(502) 244-9859
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
10/25/2019
Last updated
03/21/2023
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