| Developmental Disabilities Services University Corridor | |
|
5400 Hickory Hill Rd Louisville KY 40214-3410 | |
| (502) 415-5712 | |
| Not Available |
| Full Name | Developmental Disabilities Services University Corridor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5400 Hickory Hill Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Eva J Burch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5024155712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developmental Disabilities Services University Corridor 5400 Hickory Hill Rd Louisville KY 40214-3410 Ph: (502) 415-5712 | Developmental Disabilities Services University Corridor 5400 Hickory Hill Rd Louisville KY 40214-3410 Ph: (502) 415-5712 |
| NPI Number | 1295001030 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295001030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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