Great Lakes Recovery Center Llc

LBN: Great Lakes Recovery Center Llc
Great Lakes Recovery Center Llc is an health care organization with primary practice located at 2575 Hayes Ave , Fremont OH 43420-5201. 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. Great Lakes Recovery Center Llc can be contacted via phone (567) 280-9435, or through Guardiola, David via phone (419) 680-0172.

Contact Information

Primary practice address
2575 Hayes Ave Fremont OH 43420-5201
Phone: (567) 280-9435
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guardiola, David LISW-S
Phone: (419) 680-0172

Health care specialties

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

Profile Details

NPI number 1497376735
LBN Legal business name Great Lakes Recovery Center Llc
DBA Doing business as
Authorized official Guardiola, David LISW-S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2020
Last updated Mar 21st, 2024 - about 9 months 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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