Commonwealth Of Kentucky - Louisville, KY

Commonwealth Of Kentucky

Intellectual Disabilities Intermediate Care Facility in Louisville, Kentucky

NPI 1043298979

Commonwealth Of Kentucky is a Intellectual Disabilities Intermediate Care Facility based in Louisville, KY. Commonwealth Of Kentucky practices in Louisville, KY. The NPI Number for Commonwealth Of Kentucky is 1043298979 and holds a License No. 100694 (Kentucky).

The current practice location address for Commonwealth Of Kentucky is 5512 Del Maria Way, Louisville, KY and can be reached out via phone at 502-361-2301 and via fax at 502-363-6114.

Location: 5512 Del Maria Way, Louisville, KY, 40291-1810

NPI Number

1043298979

Provider Name

Commonwealth Of Kentucky

Credential

Provider Entity Type

Organization

Address

5512 Del Maria Way, Louisville, KY, 40291-1810

Phone Number

502-361-2301

Fax Number

502-363-6114

Provider Enumeration Date

12/30/2005

Last Update Date

08/17/2024

Identifier	Type	State	Issuer
11906070	05	KY

Address

5512 Del Maria Way

City

Louisville

State

Kentucky

Zip

40291-1810

Phone Number

502-361-2301

Fax Number

502-363-6114

Address

5512 Del Maria Way

City

Louisville

State

Kentucky

Zip

40291-1810

Phone Number

502-361-2301

Fax Number

502-363-6114

Type

Nursing & Custodial Care Facilities

Classification

Intermediate Care Facility, Mentally Retarded

Speciality

Taxonomy

315P00000X

License No.

100694 (Kentucky)

Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.

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