| Debras House, Llc | |
|
2923 Virginia Ave Louisville KY 40211-3420 | |
| (502) 775-6507 | |
| (502) 632-1432 |
| Full Name | Debras House, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2923 Virginia Ave, Louisville, Kentucky |
| Authorized Official Name and Position | Jacqueline Sanders (BILLING DIRECTOR) |
| Authorized Official Contact | 5026302036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debras House, Llc 2923 Virginia Ave Louisville KY 40211-3420 Ph: (502) 775-6507 | Debras House, Llc 2923 Virginia Ave Louisville KY 40211-3420 Ph: (502) 775-6507 |
| NPI Number | 1194306613 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194306613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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