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GRAND FALLS CENTER FOR RECOVERY LLC NPI 1396460788


NPI Information

NPI: 1396460788
Provider Name: GRAND FALLS CENTER FOR RECOVERY LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 26D2277749

Address:
5615 W 32ND ST
JOPLIN, MO
ZIP 64804
Phone: (314) 582-4205
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GRAND FALLS CENTER FOR RECOVERY LLC is a substance abuse rehabilitation facility in Joplin, MO. 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. GRAND FALLS CENTER FOR RECOVERY LLC NPI is 1396460788. The provider is registered as an organization entity type.

The provider's business location address is:

5615 W 32ND ST
JOPLIN, MO
ZIP 64804-161
Phone: (314) 582-4205

The provider's authorized official is Brian Thornsberry .
The authorized official title is Chief Operations Officer and has the following contact phone number (502) 904-9217.

The CLIA number assigned to this NPI record is 26D2277749 - other - substance use facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2022 and was last updated on 10/7/2022.


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 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: 5/5/2024

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