Recovery 180 Virginia Llc

LBN: Recovery 180 Virginia Llc
Recovery 180 Virginia Llc is an health care organization with primary practice located at 6791 James Madison Hwy , Warrenton VA 20187-9534. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Recovery 180 Virginia Llc can be contacted via phone (443) 289-8606, or through Costley, Jessie via phone (443) 839-6928.

Contact Information

Primary practice address
6791 James Madison Hwy Warrenton VA 20187-9534
Phone: (443) 289-8606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costley, Jessie
Phone: (443) 839-6928

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1326800798
LBN Legal business name Recovery 180 Virginia Llc
DBA Doing business as
Authorized official Costley, Jessie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 30th, 2024
Last updated Jan 30th, 2024 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326800798 NPPES
Virginia Other 8228-02-033 FACILITY LICENSE
Virginia Other 8228-02-035 FACILITY LICENSE

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