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1740802354
SOUTHSIDE PERSONAL CARE HOME LLC
LOUISVILLE, KY
NPI
1740802354
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Entity Type
Organization
Authorized Contact
ABDIRASHID AHMED KANYARE
Manager
502-533-1492
Organization Subpart ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-05-18
Last Update Date
2020-08-07
Business Address
SOUTHSIDE PERSONAL CARE HOME LLC
5330 S 3RD ST STE 200
LOUISVILLE, KY 40214-2689
Phone number: 502-533-1492
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Mailing Address
SOUTHSIDE PERSONAL CARE HOME LLC
5330 S 3RD ST STE 200
LOUISVILLE, KY 40214-2689
Phone number: 502-533-1492
Copy
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