Freedom Bridge To Recovery Llc

LBN: Freedom Bridge To Recovery Llc
Freedom Bridge To Recovery Llc is an health care organization with primary practice located at 1307 Magnolia St , Bowling Green KY 42104-3050. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Freedom Bridge To Recovery Llc can be contacted via phone (270) 791-9943, or through Hendershot, Stacey Denise via phone (270) 791-9943.

Contact Information

Primary practice address
1307 Magnolia St Bowling Green KY 42104-3050
Phone: (270) 791-9943
Fax: (270) 904-2377
Website:
Map and Directions
Authorized official contact:
Name: Hendershot, Stacey Denise
Phone: (270) 791-9943

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1194295089
LBN Legal business name Freedom Bridge To Recovery Llc
DBA Doing business as
Authorized official Hendershot, Stacey Denise
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2018
Last updated Dec 13th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194295089 NPPES
Kentucky MEDICAID 1194295089

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