PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION is a clinic center in Louisville, KY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION NPI is 1104317734. The provider is registered as an organization entity type.
The provider Is Doing Business As L & N Livingwell Health Clinic.
The provider's business location address is:
908 W BROADWAY FL 8
LOUISVILLE, KY
ZIP 40203
Phone: (502) 779-6015
Fax: (502) 589-5258
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The enumeration date for this NPI number is 5/18/2018 and was last updated on 8/15/2022.