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The Kidz Club- St Pete,llc
Pediatric Skilled Nursing Facility in Louisville, Kentucky
NPI 1356687222

The Kidz Club- St Pete,llc is a Pediatric Skilled Nursing Facility based in St Petersburg, KY and is specialized in Nursing Care, Pediatric. The Kidz Club- St Pete,llc practices in Louisville, KY. The NPI Number for The Kidz Club- St Pete,llc is 1356687222 and holds a License No. 2929960060 (Kentucky).

The current practice location address for The Kidz Club- St Pete,llc is 1101 Herr Ln, Louisville, KY and can be reached out via phone at 502-210-5538 and via fax at 502-327-5098.

Location: 1101 Herr Ln, Louisville, KY, 33701-4033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356687222
Provider Name
The Kidz Club- St Pete,llc
Credential
Provider Entity Type
Organization
Address
1101 Herr Ln, Louisville, KY, 33701-4033
Phone Number
502-210-5538
Fax Number
502-327-5098
Provider Enumeration Date
12/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003967601 05 FL
institution
Provider Business Practice Location Address Details
Address
1101 Herr Ln
City
Louisville
State
Kentucky
Zip
40222-4301
Phone Number
502-210-5538
Fax Number
502-327-5098
person
Provider Business Mailing Address Details
Address
1101 Herr Ln
City
Louisville
State
Kentucky
Zip
40222-4301
Phone Number
502-210-5538
Fax Number
502-327-5098
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
2929960060 (Florida)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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