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General NPI Number Information
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NPI Number | 1720647142
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Entity Type | Organization
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Legal Business Name | CARING HANDS OF KENTUCKY ADULT DAY AND NEUROREHAB
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 05/05/2024
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Provider Practice Location Address
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Address Line | 5650 BARDSTOWN RD
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City | LOUISVILLE
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State | KY
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Zip | 40291-1912
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Country | US
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Telephone | 502-235-4712
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 991015
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City | LOUISVILLE
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State | KY
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Zip | 40269-1015
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Country | US
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Telephone | 502-235-4712
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LARREATTA DEINSE BLACKMON
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Credential |
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Telephone | 502-916-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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