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NPI Code Detail

MEDICARE: HEARTSONG MEMORY CARE, LLC

MEDICARE: HEARTSONG MEMORY CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center750183KY

General Provider Information

NPI Number : 1518206135
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTSONG MEMORY CARE, LLC
Provider Business Mailing Address
First Line : 9300 STONESTREET RD
Second Line : SUITE 700
City : LOUISVILLE
State : KY
Zip : 40272-2863
Country : US
Telephone Number : 502-935-1133
Fax Number : 502-935-1188
Provider Business Practice Location Address
First Line : 9300 STONESTREET RD
Second Line : SUITE 700
City : LOUISVILLE
State : KY
Zip : 40272-2863
Country : US
Telephone Number : 502-935-1133
Fax Number : 502-935-1188
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. MARK D. LEE
Credential :
Telephone Number : 270-452-1400
Provider Enumeration Date : 02/01/2013
Last Update Date : 02/01/2013

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Directions to “HEARTSONG MEMORY CARE, LLC ” Practice Location

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