NPI 1124862750
4112 Fern Valley Road Ops LLC
Practice location
- Address
- 4112 Fern Valley Rd, Louisville, KY 40219-1973
- Phone
- (502) 964-2699
- Fax
- (833) 728-0420
- Mailing address
- 133 Holiday CT STE 102, Franklin, TN 37067-1386
Authorised official
- Name
- Alicia Neal
- Title
- Manager, Cred & Contracting
- Phone
- (615) 281-9050
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1124862750
- Entity type
- Organization
- NPI issued
- 19 Jun 2024
- Record last updated
- 19 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.