Eaglecrest Recovery Llc

LBN: Eaglecrest Recovery Llc
Eaglecrest Recovery Llc is an health care organization with primary practice located at 1101 Sw Coventry Blvd , Bentonville AR 72712-4325. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Eaglecrest Recovery Llc can be contacted via phone (479) 367-2691, or through Hernandez, John via phone (949) 813-5161.

Contact Information

Primary practice address
1101 Sw Coventry Blvd Bentonville AR 72712-4325
Phone: (479) 367-2691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, John LMFT
Phone: (949) 813-5161

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1003461955
LBN Legal business name Eaglecrest Recovery Llc
DBA Doing business as
Authorized official Hernandez, John LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2019
Last updated Sep 2nd, 2021 - about 3 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.

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