Mboka Community Services, LLC
NPI #1104603836 in Louisville, Kentucky
Provider Information
- NPI Number
- 1104603836
- Entity Type
- Organization
- Organization Name
- Mboka Community Services, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 14, 2023
- Last Updated
- Sep 14, 2023
Practice Location
- Address
- 3514 RAMONA AVE
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40220-2411
- Phone
- (502) 671-9908
Authorized Official
- Name
- ELIZABETH BASS, RN
- Title
- CO-OWNER
- Phone
- (502) 671-9908
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Respite Care |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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