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MIDAS RECOVERY LLC NPI 1528683166


NPI Information

NPI: 1528683166
Provider Name: MIDAS RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
252 LAUREN CT
LAKE ELSINORE, CA
ZIP 92530
Phone: (951) 457-2473
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MIDAS RECOVERY LLC is a substance abuse rehabilitation facility in Lake Elsinore, CA. 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. MIDAS RECOVERY LLC NPI is 1528683166. The provider is registered as an organization entity type.

The provider's business location address is:

252 LAUREN CT
LAKE ELSINORE, CA
ZIP 92530-137
Phone: (951) 457-2473

The provider's authorized official is Trevor Forehand .
The authorized official title is Ceo and has the following contact phone number (951) 457-1488.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 6/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

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