Eastern Kentucky Recovery, Llc

LBN: Eastern Kentucky Recovery, Llc
Eastern Kentucky Recovery, Llc is an health care organization with primary practice located at 475 Shoppers Dr , Winchester KY 40391-1380. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Eastern Kentucky Recovery, Llc can be contacted via phone (859) 355-5010, or through Fryman, Tracy S via phone (859) 569-3145.

Contact Information

Primary practice address
475 Shoppers Dr Winchester KY 40391-1380
Phone: (859) 355-5010
Fax: (859) 355-5121
Website:
Map and Directions
Authorized official contact:
Name: Fryman, Tracy S Registered Nurse (RN)
Phone: (859) 569-3145

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Kentucky
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1538653639
LBN Legal business name Eastern Kentucky Recovery, Llc
DBA Doing business as
Authorized official Fryman, Tracy S Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2018
Last updated Feb 6th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1538653639 NPPES
Kentucky Other 810848 AODE LICENSE

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