Frontline Recovery, Llc

NPI 1760610109 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1760610109
Enumeration Date 06/24/2009
Last Updated 06/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JEFF JEFF
Position PRESIDENT
Phone (601) 276-9556
Fax (601) 276-9578
Practice Location
1038 RIVER RIDGE RD
SUMMIT MS, 39666-9715, US
Phone (601) 276-9556
Fax (601) 276-9578
Business Location
PO BOX 1176
SUMMIT MS, 39666-1176, US
Phone (601) 276-9556
Fax (601) 276-9578
Toxanomy
Taxonomy Code 324500000X
License State Mississippi
License Number FS36BAEAPR/TR-OP-O1
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According to our database, Frontline Recovery, Llc NPI is 1760610109, taxonomy code is 324500000X and license number is FS36BAEAPR/TR-OP-O1, license state is located at Mississippi. Frontline Recovery, Llc physically located at 1038 River Ridge Rd, Summit MS, 39666-9715. NPI Number 1033115704 has the healthcare provider type.

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1760610109 NPI number is provided on an as is basis without warranty of any kind. 1760610109 is maintained by the National Plan & Provider Enumeration System. The contents of Frontline Recovery, Llc are for informational purposes only.