Organization
GUARDIAN COMMUNITY LIVING-KENTUCKY, LLC
Active
Parent organization
GUARDIAN GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUARDIAN GROUP
Authorized official
MR. DONALD IRELAND (CFO)
(615) 377-9140
Entity
Organization
Contact information
Practice address
10503 TIMBERWOOD CIR, 116, LOUISVILLE, KY 40223-5318
(502) 429-8003
(502) 429-8043
Mailing address
10503 TIMBERWOOD CIR, 116, LOUISVILLE, KY 40223-5318
(502) 429-8003
(502) 429-8045
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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