Organization
RWW RESIDENTIAL REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (PROVIDER ENROLLMENT MANAGER)
(502) 420-2512
Entity
Organization
Contact information
Practice address
63 DONOVAN RD, DEERING, NH 03244-6361
(603) 464-3841
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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