Organization
LIVING WELL REHABILITATION & WELLNESS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX HAMMOND (DIRECTOR)
(859) 410-8550
Entity
Organization
Contact information
Practice address
771 CORPORATE DRIVE, SUITE 610, LEXINGTON, KY 40503
(859) 410-8550
(859) 223-0642
Mailing address
PO BOX 910544, LEXINGTON, KY 40591-0544
(859) 410-8550
(859) 223-0642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
11/12/2012
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