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Organization

SA ROSEBUD HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAJAM KHAN CM (CASE MANAGER)
(561) 779-2123
Entity
Organization

Contact information

Practice address
234 ROSEBUD AVE, IRVINE, KY 40336-1204
(561) 779-2123
Mailing address
1160 BRICK HOUSE LN, LEXINGTON, KY 40509-8563
(561) 779-2123

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QR0800X
Recovery Care Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
10/06/2023
Last updated
10/19/2023
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