Life Transformation Recovery

LBN: Life Transformation Recovery
Life Transformation Recovery is an health care organization with primary practice located at 6217 N Reata Dr , Prescott Valley AZ 86314-3234. 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. Life Transformation Recovery can be contacted via phone (928) 515-0044, or through Sanchez, David via phone (928) 515-0044.

Contact Information

Primary practice address
6217 N Reata Dr Prescott Valley AZ 86314-3234
Phone: (928) 515-0044
Fax: (928) 433-4977
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, David Registered Nurse (RN)
Phone: (928) 515-0044

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X BH4673 Arizona

Profile Details

NPI number 1952758500
LBN Legal business name Life Transformation Recovery
DBA Doing business as
Authorized official Sanchez, David Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2016
Last updated Oct 27th, 2016 - about 8 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 1952758500 NPPES
Arizona MEDICAID 083523

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