Organization
WE CLEAN UP WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING ADMIN)
(502) 365-3394
Entity
Organization
Contact information
Practice address
5106 MALIBU CT, LOUISVILLE, KY 40216-1660
(804) 475-2349
Mailing address
1526 S 30TH ST, LOUISVILLE, KY 40211-1802
(804) 475-2349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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