Our House Of Favor | |
1546 Berry Blvd Louisville KY 40215-1955 | |
(502) 912-2689 | |
Not Available |
Full Name | Our House Of Favor |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1546 Berry Blvd, Louisville, Kentucky |
Authorized Official Name and Position | Saybah Glay (OWNER) |
Authorized Official Contact | 5026892830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Our House Of Favor 135 Shadow Rock Ct Shepherdsville KY 40165-4607 Ph: () - | Our House Of Favor 1546 Berry Blvd Louisville KY 40215-1955 Ph: (502) 912-2689 |
NPI Number | 1316726094 |
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Provider Enumeration Date | 09/22/2023 |
Last Update Date | 11/16/2023 |
Certification Date | 11/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316726094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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