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PALOUSE RECOVERY CENTER LLC NPI 1407928013


NPI Information

NPI: 1407928013
Provider Name: PALOUSE RECOVERY CENTER LLC

Doing Business As: PRC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
SE 1240 BISHOP BOULEVARD
SUITE P
PULLMAN, WA
ZIP 99163
Phone: (509) 334-0718
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PALOUSE RECOVERY CENTER LLC is a substance abuse rehabilitation facility in Pullman, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PALOUSE RECOVERY CENTER LLC NPI is 1407928013. The provider is registered as an organization entity type.
The provider Is Doing Business As Prc.

The provider's business location address is:

SE 1240 BISHOP BOULEVARD
SUITE P
PULLMAN, WA
ZIP 99163
Phone: (509) 334-0718
Fax: (509) 334-0361

The provider's authorized official is Darcell K Myers .
The authorized official title is Co Owner Of Llc and has the following contact phone number (509) 334-0718.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility38075500WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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