| Jump Start Recovery | |
|
331 & 335 Preston St Louisville KY 40202 | |
| (502) 384-3447 | |
| (502) 384-3447 |
| Full Name | Jump Start Recovery |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 331 & 335 Preston St, Louisville, Kentucky |
| Authorized Official Name and Position | Nasira Mah-jabeen (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5025790170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jump Start Recovery 333 S Preston St Louisville KY 40202-1503 Ph: (502) 552-6064 | Jump Start Recovery 331 & 335 Preston St Louisville KY 40202 Ph: (502) 384-3447 |
| NPI Number | 1629849179 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629849179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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