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Organization

A NEW LIFE RESTORATIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAROOF A AJANI (CEO)
(502) 489-7505
Entity
Organization

Contact information

Practice address
3829 CHEVY CHASE RD, LOUISVILLE, KY 40218-1516
(502) 489-7505
Mailing address
3829 CHEVY CHASE RD, LOUISVILLE, KY 40218-1516
(502) 489-7505

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
320700000X
Physical Disabilities Residential Treatment Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
385H00000X
Respite Care

Other

Enumeration date
12/12/2025
Last updated
12/12/2025
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