KENTUCKY LIFE SOURCE INC

LOUISVILLE, KY
NPI1083471262
Entity TypeOrganization
Authorized ContactJACQUELINE SANDERS
Credentialing Admin
502-630-2036
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
KENTUCKY LIFE SOURCE INC
2619 W BROADWAY
LOUISVILLE, KY 40211-1332
Phone number: 502-303-7665
Mailing Address
KENTUCKY LIFE SOURCE INC
2619 W BROADWAY
LOUISVILLE, KY 40211-1332
Phone number: 502-303-7665
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