| Restoration House Llc | |
|
2600 W Broadway Ste 209 Louisville KY 40211-1370 | |
| (502) 907-7541 | |
| Not Available |
| Full Name | Restoration House Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2600 W Broadway Ste 209, Louisville, Kentucky |
| Authorized Official Name and Position | Jeremy Jones (OWNER) |
| Authorized Official Contact | 5029077541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration House Llc 2600 W Broadway Ste 209 Louisville KY 40211-1370 Ph: () - | Restoration House Llc 2600 W Broadway Ste 209 Louisville KY 40211-1370 Ph: (502) 907-7541 |
| NPI Number | 1336836691 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Medicare PECOS PAC ID | 9931626405 |
|---|---|
| Medicare Enrollment ID | O20250508000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336836691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Terry Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730855594 PECOS PAC ID: 6507383965 Enrollment ID: I20250508002061 |
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