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1154794147
PROVIDENCE OF LOUISVILLE LLC
LOUISVILLE, KY
NPI
1154794147
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Entity Type
Organization
Authorized Contact
JASON W WRIGHT
Owner/Partner
502-802-7636
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
PROVIDENCE OF LOUISVILLE LLC
17014 ASHBURTON DR
LOUISVILLE, KY 40245-5713
Phone number: 502-689-2106
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Mailing Address
PROVIDENCE OF LOUISVILLE LLC
17014 ASHBURTON DR
LOUISVILLE, KY 40245-5713
Phone number: 502-689-2106
Copy
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