| Total Restoration Group Llc | |
|
4120 Pacelli Pl Louisville KY 40245-1796 | |
| (502) 309-4746 | |
| Not Available |
| Full Name | Total Restoration Group Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4120 Pacelli Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Samantha Graves (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5023094746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Restoration Group Llc 4120 Pacelli Pl Louisville KY 40245-1796 Ph: (502) 309-4746 | Total Restoration Group Llc 4120 Pacelli Pl Louisville KY 40245-1796 Ph: (502) 309-4746 |
| NPI Number | 1700315413 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700315413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Kentucky) | Primary |
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