Organization
LIVING WITH PURPOSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SANDERS (CREDENTIALING ADMINISTRATION)
(502) 630-2036
Entity
Organization
Contact information
Practice address
122 S LONGWORTH AVE, LOUISVILLE, KY 40212-2634
(502) 384-5232
(502) 632-1432
Mailing address
122 S LONGWORTH AVE, LOUISVILLE, KY 40212-2634
(502) 384-5232
(502) 632-1432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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