THE PRINCECARE GROUP

LOUISVILLE, KY
NPI1831316595
Entity TypeOrganization
Authorized ContactJIM DEWAYNE HISLE
President
502-428-9037
Organization Subpart ?No
Primary Taxonomy320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: KY  7100010990)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
251C00000X Day Training, Developmentally Disabled Services
261Q00000X Clinic/Center
225100000X Physical Therapist
225X00000X Occupational Therapist
261QA0600X Clinic/Center, Adult Day Care
(Licence: KY  7100233390)
261QD1600X Clinic/Center, Developmental Disabilities
261QP2000X Clinic/Center, Physical Therapy
(Licence: KY  7100199960)
261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2007-04-20
Last Update Date2018-07-12
Business Address
THE PRINCECARE GROUP
1520 BAXTER AVE
LOUISVILLE, KY 40205
Phone number: 502-896-8147
Mailing Address
THE PRINCECARE GROUP
1520 BAXTER AVE
LOUISVILLE, KY 40205-1009
Phone number: 502-896-8147