Organization
BOSS RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASIRA MAH-JABEEN (CREDENTIALING AGENT)
(150) 257-9017
Entity
Organization
Contact information
Practice address
2600 W BROADWAY STE 318, LOUISVILLE, KY 40211-1366
(440) 444-8302
Mailing address
2600 W BROADWAY STE 318, LOUISVILLE, KY 40211-1366
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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