NPI: 1356687222
Provider Name: THE KIDZ CLUB- ST PETE,LLC
Doing Business As: THE KIDZ CLUB
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization
Specialization: Nursing Care, Pediatric
Address:
1101 HERR LN
LOUISVILLE, KY
ZIP 40222
Phone: (502) 210-5538
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THE KIDZ CLUB- ST PETE,LLC is a nursing care and pediatric skilled nursing facility in Louisville, KY. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. THE KIDZ CLUB- ST PETE,LLC NPI is 1356687222. The provider is registered as an organization entity type.
The provider Is Doing Business As The Kidz Club.
The provider's business location address is:
1101 HERR LN
LOUISVILLE, KY
ZIP 40222-301
Phone: (502) 210-5538
Fax: (502) 327-5098
The provider's authorized official is Debbie A Hunt .
The authorized official title is Vp Of Operations and has the following contact phone number (502) 458-5433.
The enumeration date for this NPI number is 12/21/2012 and was last updated on 12/21/2012.