29 11 Healing And Recovery Center

LBN: Jeremiah Recovery House, Inc.
29 11 Healing And Recovery Center is an health care organization with primary practice located at 801 W Trimble Ave , Berryville AR 72616-5101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Jeremiah Recovery House, Inc. can be contacted via phone (870) 716-9365, or through Poulson, Vickie via phone (870) 716-9365.

Contact Information

Primary practice address
801 W Trimble Ave Berryville AR 72616-5101
Phone: (870) 716-9365
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poulson, Vickie
Phone: (870) 716-9365

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1366153454
LBN Legal business name Jeremiah Recovery House, Inc.
DBA Doing business as 29 11 Healing And Recovery Center
Authorized official Poulson, Vickie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2022
Last updated Jan 11th, 2023 - about 2 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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