Organization
2022 LLC
Active
Parent organization
2022 LLC
Other names
Arch to Freedom Recovery Center, DBA Arch Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
2022 LLC
Authorized official
XAVIER GILES (OWNER)
(502) 384-0939
Entity
Organization
Contact information
Practice address
700 GAGEL AVE, LOUISVILLE, KY 40216-4008
(502) 963-5516
(502) 963-5704
Mailing address
4104 SMARTY JONES DR, LOUISVILLE, KY 40214-6530
(502) 759-6281
(502) 772-1533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101036390
—
KY
Enumeration date
01/16/2025
Last updated
10/03/2025
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