# LOTUS RIDGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285564690
- **Authorized official:** MICHAEL PERCELL (OWNER)
- **Authorized official phone:** (502) 356-6035

## Contact information

- **Practice address:** 3407 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40212-2423
- **Practice address phone:** (502) 356-6035
- **Mailing address:** 3407 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40212-2423
- **Mailing address phone:** (502) 356-6035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2026
- **Last updated:** 05/20/2026