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General NPI Number Information
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NPI Number | 1881095586
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Entity Type | Organization
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Legal Business Name | MYLIANCE
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 12/04/2014
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Provider Practice Location Address
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Address Line | 1868 CAMPUS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-2305
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Country | US
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Telephone | 502-640-1669
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Fax |
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Provider Business Mailing Address
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Address Line | 1868 CAMPUS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-2305
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Country | US
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Telephone | 502-640-1669
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN SCOTT BYRNE
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Credential |
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Telephone | 502-640-1669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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