Basic Information
Provider Information
NPI: 1982297933
EntityType: 2
ReplacementNPI:  
OrganizationName: ADORATION HEALTH, LLC
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Mailing Information
Address1: 805 N WHITTINGTON PKWY
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402227101
CountryCode: US
TelephoneNumber: 5022723466
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Practice Location
Address1: 1210 BRIARVILLE RD
Address2:  
City: MADISON
State: TN
PostalCode: 371155141
CountryCode: US
TelephoneNumber: 6156100568
FaxNumber: 6292043099
Other Information
ProviderEnumerationDate: 02/19/2021
LastUpdateDate: 02/19/2021
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AuthorizedOfficialLastName: DOMICO
AuthorizedOfficialFirstName: REXANNE
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AuthorizedOfficialTitleorPosition: DIRECTOR & PRESIDENT
AuthorizedOfficialTelephone: 5022723466
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 02/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WH0200X  Y193400000X SINGLE SPECIALTY GROUPNursing Service ProvidersRegistered NurseHome Health

No ID Information.


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