PARK DUVALLE COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Louisville, KY. PARK DUVALLE COMMUNITY HEALTH CENTER, INC NPI is 1275151292. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Duvalle Mobile Dentistry Van.
The provider's business location address is:
3015 WILSON AVE
LOUISVILLE, KY
ZIP 40211-969
Phone: (502) 916-7091
The provider's authorized official is Swannie Jett .
The authorized official title is Ceo and has the following contact phone number (502) 774-4401.
The enumeration date for this NPI number is 7/7/2020 and was last updated on 11/2/2021.