| Sheryl's House Llc | |
|
4136 Wheeler Ave Louisville KY 40215-1221 | |
| (502) 619-9622 | |
| Not Available |
| Full Name | Sheryl's House Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4136 Wheeler Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Jacqueline Sanders (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 5026302036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryl's House Llc 3931 Cane Run Rd Louisville KY 40211-2013 Ph: (502) 619-9622 | Sheryl's House Llc 4136 Wheeler Ave Louisville KY 40215-1221 Ph: (502) 619-9622 |
| NPI Number | 1649866344 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649866344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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