Commonwealth of Kentucky
Commonwealth of Kentucky is an Intellectual Disabilities Intermediate Care Facility in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.
- Licensed in
- KY
- In the registry since
- 2005
Practice location Address checks out
1800 Bluegrass AveLouisville, KY 40215-1130
Phone: (502) 361-2301
Fax: (502) 363-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 100211 (KY) |
|---|
Record details
| NPI number | 1033197967 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Commonwealth of Kentucky |
| Authorized official | Jennifer Moore — Assistant Director · (502) 782-6117 |
| Other names | Hazelwood Center |
| NPI enumerated | December 30, 2005 |
| Last updated in NPPES | August 7, 2024 |
| Certification date | August 7, 2024 |
| Mailing address | 1800 Bluegrass Ave, Louisville, KY 40215-1130 |
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