COMMONWEALTH OF KENTUCKY is an intermediate care facility mentally retarded in Louisville, KY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMONWEALTH OF KENTUCKY NPI is 1043298979. The provider is registered as an organization entity type.
The provider Is Doing Business As Del Maria.
The provider's business location address is:
5512 DEL MARIA WAY
LOUISVILLE, KY
ZIP 40291-810
Phone: (502) 361-2301
Fax: (502) 363-6114
The provider's authorized official is Wendy Morris .
The authorized official title is Deputy Commissioner and has the following contact phone number (502) 564-4527.
The CLIA number assigned to this NPI record is 18D1029332 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/30/2005 and was last updated on 5/6/2014.