Mahoghany Tree Rooted Resources
Mahoghany Tree Rooted Resources is a Multi-Specialty Clinic/Center in Louisville, Kentucky. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
4059 La Salle AveLouisville, KY 40215-1321
Phone: (502) 579-0170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1508645201 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nasira Mah-Jabeen — Credentialing Agent · (502) 579-0170 |
| NPI enumerated | September 22, 2023 |
| Last updated in NPPES | September 22, 2023 |
| Certification date | September 22, 2023 |
| Mailing address | 642 Cecil Ave, Louisville, KY 40211-3162 |
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