Organization
FMHC WELLNESS LODGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARDAR KHAN MSW (EXECUTIVE DIRECTOR)
(561) 779-2123
Entity
Organization
Contact information
Practice address
190 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-4104
(561) 779-2123
Mailing address
PO BOX 54330, LEXINGTON, KY 40555-4330
(561) 779-2123
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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