Organization
WELLNESS MEDICAL AND REHABILITATION CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLES PERDOMO M.D (PRESIDENT)
(502) 499-4156
Entity
Organization
Contact information
Practice address
4229 BARDSTOWN RD, LOUISVILLE, KY 40218-3241
(502) 499-4156
(502) 499-4170
Mailing address
4229 BARDSTOWN RD, LOUISVILLE, KY 40218-3241
(502) 499-4156
(502) 499-4170
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
36067
KY
261QH0100X
Health Service Clinic/Center
39869
KY
Other
Enumeration date
10/08/2013
Last updated
11/18/2013
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