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General NPI Number Information
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NPI Number | 1275346546
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Entity Type | Organization
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Legal Business Name | A RESTORING HOPE, LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 6608 BARDSTOWN RD STE B
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City | LOUISVILLE
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State | KY
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Zip | 40291-3084
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Country | US
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Telephone | 502-563-2961
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Fax | 502-963-5848
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Provider Business Mailing Address
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Address Line | 6608 BARDSTOWN RD STE B
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City | LOUISVILLE
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State | KY
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Zip | 40291-3084
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Country | US
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Telephone | 502-536-2961
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Fax | 502-963-5848
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Authorized Official
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Title or Position | OWNER
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Name | AWA JOBE JALLOW
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Credential |
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Telephone | 502-224-3120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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