Volunteers Of America Mid-states | |
1436 S Shelby St Louisville KY 40217-1107 | |
(502) 636-0742 | |
(502) 636-0597 |
Full Name | Volunteers Of America Mid-states |
---|---|
Speciality | Community/behavioral Health |
Location | 1436 S Shelby St, Louisville, Kentucky |
Authorized Official Name and Position | Jennifer L Mcminn (VP PROGRAM SERVICES CENTRAL REGION) |
Authorized Official Contact | 5023140100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Volunteers Of America Mid-states 570 S 4th St Suite 100 Louisville KY 40202-2504 Ph: (502) 636-0771 | Volunteers Of America Mid-states 1436 S Shelby St Louisville KY 40217-1107 Ph: (502) 636-0742 |
NPI Number | 1063857373 |
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Provider Enumeration Date | 05/01/2013 |
Last Update Date | 05/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063857373 | NPI | - | NPPES |
800145 | Other | KY | BHSO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Kentucky) | Primary |
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