Organization · Type 2 NPI

Mahoghany Tree Rooted Resources

Multi-Specialty Clinic/Center · Louisville, KY

NPI number 1508645201 Active

Practice location

4059 La Salle Ave
Louisville, KY 40215-1321

Call (502) 579-0170 Map

Mailing address

642 Cecil Ave
Louisville, KY 40211-3162

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1508645201

Mahoghany Tree Rooted Resources's National Provider Identifier is 1508645201, issued on Sep 22, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Louisville, KY. The record was last updated on Sep 22, 2023.