Provider Demographics
NPI:1326894676
Name:UNLIMITED LOVE FAMILY RECOVERY HOUSE INC.
Entity Type:Organization
Organization Name:UNLIMITED LOVE FAMILY RECOVERY HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LASSITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-975-0394
Mailing Address - Street 1:6844 BARDSTOWN RD UNIT 2264
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3050
Mailing Address - Country:US
Mailing Address - Phone:502-975-0394
Mailing Address - Fax:502-305-6962
Practice Address - Street 1:1816 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-1538
Practice Address - Country:US
Practice Address - Phone:502-975-0394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health