Irvine Operating Company LLC

NPI #1205302031 in Irvine, Kentucky

Provider Information

NPI Number: 1205302031
Entity Type: Organization
Organization Name: Irvine Operating Company LLC
Primary Specialty: Respite Care
Enumeration Date: Oct 19, 2018
Last Updated: Oct 19, 2018

Practice Location

Address: 411 BERTHA WALLACE DR
City: Irvine
State: Kentucky
ZIP Code: 40336-9418
Phone: (606) 723-5153

Authorized Official

Name: MOSHE KELMAN
Title: MANAGING MEMBER
Phone: (917) 613-1662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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