institution
Commonwealth Of Kentucky
Intellectual Disabilities Intermediate Care Facility in Louisville, Kentucky
NPI 1083785125

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 1083785125 and holds a License No. (Kentucky).

The current practice location address for Commonwealth Of Kentucky is 4401-4505 Louise Underwood Way, Louisville, KY and can be reached out via phone at 502-363-6421 and via fax at 502-363-2215.

Location: 4401-4505 Louise Underwood Way, Louisville, KY, 40216
institution
Provider Profile Details
NPI Number
1083785125
Provider Name
Commonwealth Of Kentucky
Credential
Provider Entity Type
Organization
Address
4401-4505 Louise Underwood Way, Louisville, KY, 40216
Phone Number
502-363-6421
Fax Number
502-363-2215
Provider Enumeration Date
11/12/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11906260 05 KY
institution
Provider Business Practice Location Address Details
Address
4401-4505 Louise Underwood Way
City
State
Zip
40216
Phone Number
502-363-6421
Fax Number
502-363-2215
person
Provider Business Mailing Address Details
Address
4401-4505 Louise Underwood Way
City
State
Zip
40216
Phone Number
502-363-6421
Fax Number
502-363-2215
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
()
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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