LATISHA L LONG

LOUISVILLE, KY
NPI1639021348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: KY  252686)
Enumeration Date2026-02-13
Last Update Date2026-02-13
Business Address
LATISHA L LONG
4521 SHELVIS DR
LOUISVILLE, KY 40216-3072
Phone number: 502-387-5015
Mailing Address
LATISHA L LONG
4521 SHELVIS DR
LOUISVILLE, KY 40216-3072
Phone number: 502-387-5015
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