person
Gloria Tinsley Mucker
Substance Abuse Rehabilitation Facility in Louisville, Kentucky
NPI 1881006450

Gloria Tinsley Mucker is a Substance Abuse Rehabilitation Facility based in Louisville, KY. Gloria Tinsley Mucker practices in Louisville, KY. The NPI Number for Gloria Tinsley Mucker is 1881006450 and holds a License No. 6923 (Kentucky).

The current practice location address for Gloria Tinsley Mucker is 1436 S Shelby St, Louisville, KY and can be reached out via phone at 502-635-4533.

Location: 1436 S Shelby St, Louisville, KY, 40217-1107
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Provider Profile Details
NPI Number
1881006450
Provider Name
Gloria Tinsley Mucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1436 S Shelby St, Louisville, KY, 40217-1107
Phone Number
502-635-4533
Fax Number
Provider Enumeration Date
05/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1436 S Shelby St
City
State
Zip
40217-1107
Phone Number
502-635-4533
Fax Number
person
Provider Business Mailing Address Details
Address
1436 S Shelby St
City
State
Zip
40217-1107
Phone Number
502-635-4533
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
6923 (Kentucky)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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