AGATHA RENEE BRYANT
NPI 1225856297
Clinic/Center - Adult Day Care in Louisville, KY
Active since September 30, 2024
About Agatha Renee Bryant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGATHA RENEE BRYANT (NPI 1225856297) is an individual adult day care provider in Louisville, Kentucky, licensed in Kentucky (2016840) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1225856297
Entity TypeIndividualFemale
Primary Taxonomy261QA0600X
Provider Legal NameAGATHA RENEE BRYANT
Location Address9300 BEULAH CHURCH RDLouisville, KY 40291-2708
Mailing Address9300 Beulah Church RdLouisville, KY 40291-2708 · (502) 762-9608
Phone(502) 762-9608
Sole ProprietorYes
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1225856297 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in KY · 2016840
9300 BEULAH CHURCH RD, Louisville, KY 40291
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Adult Day Care)
9300 BEULAH CHURCH RD
LOUISVILLE, KY 40291
LOUISVILLE, KY 40291
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225856297, enumerated as an "individual" on September 30, 2024.
The provider is located at 9300 BEULAH CHURCH RD LOUISVILLE, KY 40291 and the phone number is (502) 762-9608.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.