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NPI Code Detail

MEDICARE: LOUISVILLE CARE CENTER INC

MEDICARE: LOUISVILLE CARE CENTER INC
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
1208800000XUrology Physician16325KY

General Provider Information

NPI Number : 1326357120
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISVILLE CARE CENTER INC
Provider Business Mailing Address
First Line : 6661 DIXIE HWY
Second Line : UNIT 4-333
City : LOUISVILLE
State : KY
Zip : 40258-3950
Country : US
Telephone Number : 502-380-7052
Fax Number :
Provider Business Practice Location Address
First Line : 9700 STONESTREET RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40272-2884
Country : US
Telephone Number : 502-380-7052
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. JOHN G HUBBARD
Credential : M.D.
Telephone Number : 502-380-7052
Provider Enumeration Date : 09/28/2010
Last Update Date : 09/28/2010

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Directions to “LOUISVILLE CARE CENTER INC ” Practice Location

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