| Home Of The Innocents | |
|
1100 E. Market St. Louisville KY 40206 | |
| (502) 596-1000 | |
| (502) 596-1413 |
| Full Name | Home Of The Innocents |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1100 E. Market St., Louisville, Kentucky |
| Authorized Official Name and Position | Gordon Brown (PRESIDENT & CEO) |
| Authorized Official Contact | 5025961000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Of The Innocents 1100 E. Market St. Louisville KY 40206 Ph: (502) 596-1000 | Home Of The Innocents 1100 E. Market St. Louisville KY 40206 Ph: (502) 596-1000 |
| NPI Number | 1437447224 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 08/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437447224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 251S00000X (Kentucky) | Primary |
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