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
100 MALLARD CREEK RD, SUITE 390, LOUISVILLE, KY 40207-4194
(502) 267-8610
(502) 267-9019
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
05/17/2010
Last updated
02/06/2013
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