Active Recovery Llc

LBN: Active Recovery Llc
Active Recovery Llc is an health care organization with primary practice located at 3906 Hardy St # 15 , Hattiesburg MS 39402-1683. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Active Recovery Llc can be contacted via phone (601) 297-1740, or through Worrel, Stephen August via phone (601) 297-1740.

Contact Information

Primary practice address
3906 Hardy St # 15 Hattiesburg MS 39402-1683
Phone: (601) 297-1740
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Worrel, Stephen August DPT
Phone: (601) 297-1740

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1053883850
LBN Legal business name Active Recovery Llc
DBA Doing business as
Authorized official Worrel, Stephen August DPT
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2018
Last updated Mar 14th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053883850 NPPES
Virginia Other 1528307469 NPI

Popular Providers