Life Rediscovery Center, Llc
LBN: Life Rediscovery Center, Llc
Life Rediscovery Center, Llc is an health care organization with primary practice located at 113 Upper Riverdale Rd Sw , Riverdale GA 30274-2540. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty.
Life Rediscovery Center, Llc can be contacted via phone (678) 545-6768, or through Watts, Felicia via phone (678) 545-6768.
Contact Information
Primary practice address
113 Upper Riverdale Rd Sw
Riverdale GA 30274-2540
Phone: (678) 545-6768
Fax: (678) 528-9489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1427416577 |
|---|---|
| LBN Legal business name | Life Rediscovery Center, Llc |
| DBA Doing business as | |
| Authorized official | Watts, Felicia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 3rd, 2016 |
| Last updated | Apr 19th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427416577 | NPPES |
| Georgia | MEDICAID | 003212493A |
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