Recovery Source Llc

LBN: Recovery Source Llc
Recovery Source Llc is an health care organization with primary practice located at 115 N Main St , North East MD 21901-3502. The organization recently has only one registered license in Other Service Providers / Lodging, which is considered as the primary health care specialty. Recovery Source Llc can be contacted via phone (410) 441-4617, or through Jones, Patricia via phone (410) 441-4617.

Contact Information

Primary practice address
115 N Main St North East MD 21901-3502
Phone: (410) 441-4617
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Patricia
Phone: (410) 441-4617

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X

Profile Details

NPI number 1093353252
LBN Legal business name Recovery Source Llc
DBA Doing business as
Authorized official Jones, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2019
Last updated Dec 18th, 2019 - 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 1093353252 NPPES
Maryland MEDICAID 819671

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