NU-WAY LIFE RECOVERY CENTER NPI 1497135495

NPI Information

NPI: 1497135495
Provider Name: NU-WAY LIFE RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1905 S 25TH ST STE 103
FORT PIERCE, FL
ZIP 34947
Phone: (772) 577-7200
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NU-WAY LIFE RECOVERY CENTER is a rehabilitation and substance use disorder clinic center in Fort Pierce, FL. NU-WAY LIFE RECOVERY CENTER NPI is 1497135495. The provider is registered as an organization entity type.

The provider's business location address is:

1905 S 25TH ST STE 103
FORT PIERCE, FL
ZIP 34947-739
Phone: (772) 577-7200

The provider's authorized official is Dennis Nystrom .
The authorized official title is Ceo and has the following contact phone number (317) 319-3132.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 7/27/2016.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 11/14/2023

NPI Synchronization or Removal

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