REDEMPTION RECOVERY CENTER LLC NPI 1639746928

NPI Information

  • NPI: 1639746928
  • Provider Name: REDEMPTION RECOVERY CENTER, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: APPLEGATE RECOVERY - DYERSBURG
  • CLIA Number: 44D2216856
  • Address: 305 E TICKLE ST
    DYERSBURG, TN
    ZIP 38024
  • Phone: (731) 217-3777

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NPI Details

REDEMPTION RECOVERY CENTER, LLC is a rehabilitation and substance use disorder clinic center in Dyersburg, TN. REDEMPTION RECOVERY CENTER, LLC NPI is 1639746928. The provider is registered as an organization entity type.
The provider Is Doing Business As Applegate Recovery - Dyersburg.

The provider's business location address is:

305 E TICKLE ST
DYERSBURG, TN
ZIP 38024-173
Phone: (731) 217-3777

The provider's authorized official is Bruce Jarvie .
The authorized official title is Vp, Treasurer and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 44D2216856 - other - ot addiction treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2021 and was last updated on 7/29/2024.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

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This page was last updated on: 11/21/2025

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