18D2246764 CLIA NUMBER - REDEEMED AND RESTORED INC

Laboratory Demographics

CLIA Number: 18D2246764

Facility Name: REDEEMED AND RESTORED INC

Facility Address:
2010 CADIZ ROAD
HOPKINSVILLE, KY
ZIP 42240
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Facility Phone Number: 270 498-1426

Facility Type: Other - RESIDENTIAL TREATMENT FAC

Certificate Type: Waiver

NPI Number: 1699241380

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	18D2246764
LAB Type	Other - RESIDENTIAL TREATMENT FAC
Facility Name	REDEEMED AND RESTORED INC
Street	2010 CADIZ ROAD
City	HOPKINSVILLE
State	KY
ZIP	42240
Phone	270 498-1426
CertificateType	4
CertificateEffectiveDate	12/29/2023
CertificateExpirationDate	12/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024