Provider First Line Business Practice Location Address:
PALADINA HEALTH LOUISVILLE CENTERSTONE BROADWAY
Provider Second Line Business Practice Location Address:
914 EAST BROADWAY SUITE 200
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-410-5788
Provider Business Practice Location Address Fax Number:
978-620-2349
Provider Enumeration Date:
02/22/2019