Restore Incorporated

LBN: Restore Incorporated
Restore Incorporated is an health care organization with primary practice located at 526 Gaffney Rd , Fairbanks AK 99701-4914. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as the primary health care specialty. Restore Incorporated can be contacted via phone (907) 374-1097, or through Thomas, Timothy M via phone (907) 374-1097.

Contact Information

Primary practice address
526 Gaffney Rd Fairbanks AK 99701-4914
Phone: (907) 374-1097
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Timothy M
Phone: (907) 374-1097

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1609593821
LBN Legal business name Restore Incorporated
DBA Doing business as
Authorized official Thomas, Timothy M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2022
Last updated Oct 27th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609593821 NPPES
Alaska MEDICAID 1687081

Popular Providers