OrganizationActive
4112 Fern Valley Road Ops LLC
NPI 1124862750 · Substance Abuse Rehabilitation Facility · Louisville, KY
Provider details
- NPI number
- 1124862750
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Alicia Neal, Manager, Cred & Contracting
Practice location
4112 Fern Valley Rd
Louisville, KY 40219-1973
Phone: (502) 964-2699
Fax: (833) 728-0420
Mailing address
133 Holiday Ct Ste 102
Franklin, TN 37067-1386
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2024-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.