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General NPI Number Information
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NPI Number | 1609025352
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Entity Type | Organization
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Legal Business Name | FERN CREEK HIGHVIEW UNITED MINISTRIES, INC.
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 9300 BEULAH CHURCH RD
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City | LOUISVILLE
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State | KY
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Zip | 40291-2708
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Country | US
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Telephone | 502-762-9608
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Fax | 502-762-9609
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Provider Business Mailing Address
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Address Line | 9300 BEULAH CHURCH RD
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City | LOUISVILLE
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State | KY
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Zip | 40291-2708
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Country | US
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Telephone | 502-762-9608
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Fax | 502-762-9609
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AGATHA RENEE BRYANT
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Credential |
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Telephone | 502-762-9608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 81498
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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