Providence Recovery Centers, Inc.

LBN: Providence Recovery Centers, Inc.
Providence Recovery Centers, Inc. is an health care organization with primary practice located at 11165 Bonnie View Ave , Moreno Valley CA 92555. 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. Providence Recovery Centers, Inc. can be contacted via phone (951) 221-1805, or through Dorsey, Stacy Jo via phone (951) 221-1805.

Contact Information

Primary practice address
11165 Bonnie View Ave Moreno Valley CA 92555
Phone: (951) 221-1805
Fax: (951) 422-3384
Website:
Map and Directions
Authorized official contact:
Name: Dorsey, Stacy Jo
Phone: (951) 221-1805

Health care specialties

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

Profile Details

NPI number 1114549144
LBN Legal business name Providence Recovery Centers, Inc.
DBA Doing business as
Authorized official Dorsey, Stacy Jo
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2020
Last updated May 13th, 2020 - about 4 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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