Life In Recovery, Llc.

NPI 1023293503 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1023293503
Enumeration Date 01/03/2008
Last Updated 01/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DOREEN MARIE DOREEN
Position OWNER
Phone (320) 360-4755
Fax (320) 632-2781
Practice Location
304 8TH ST SE
LITTLE FALLS MN, 56345-3241, US
Phone (320) 360-4755
Fax (320) 632-2781
Business Location
304 8TH ST SE
LITTLE FALLS MN, 56345-3241, US
Phone (320) 360-4755
Fax (320) 632-2781
Toxanomy
Taxonomy Code 302F00000X
License State Minnesota
License Number 9021
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According to our database, Life In Recovery, Llc. NPI is 1023293503, taxonomy code is 302F00000X and license number is 9021, license state is located at Minnesota. Life In Recovery, Llc. physically located at 304 8th St Se, Little Falls MN, 56345-3241. NPI Number 1033115704 has the healthcare provider type.

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1023293503 NPI number is provided on an as is basis without warranty of any kind. 1023293503 is maintained by the National Plan & Provider Enumeration System. The contents of Life In Recovery, Llc. are for informational purposes only.