FRESH LIFE RECOVERY LLC NPI 1912371634

NPI Information

NPI: 1912371634
Provider Name: FRESH LIFE RECOVERY, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
11 S DIXIE HWY
LAKE WORTH, FL
ZIP 33460
Phone: (561) 444-2189
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FRESH LIFE RECOVERY, LLC is a rehabilitation and substance use disorder clinic center in Lake Worth, FL. FRESH LIFE RECOVERY, LLC NPI is 1912371634. The provider is registered as an organization entity type.

The provider's business location address is:

11 S DIXIE HWY
LAKE WORTH, FL
ZIP 33460-727
Phone: (561) 444-2189

The provider's authorized official is Melissa Abreu .
The authorized official title is Billing Manager and has the following contact phone number (954) 415-9373.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

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: 4/28/2024

NPI Synchronization or Removal

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